The clinical spectrum and indicators influencing the diagnosis of patients with hepatic encephalopathy
Suprabhat Ranjan, Sheela Sinha
Hepatic encephalopathy (HE) refers to changes in the brain that occur in patients with advanced, acute (sudden) or chronic (long-term) liver disease. It can occur suddenly in people with acute liver failure but is more often seen in those with chronic liver disease. The study was planned in the Upgraded Department of Paediatrics in the Patna Medical College and Hospital from Jan 2012 to March 2013. The total 50 childrens below age of 18 years diagnosed with the hepatic encephalopathy were enrolled in the present study. It was found that there is significant variation in the serological markers found in the childrens below 18 year found positive with the hepatic encephalopathy. Also hepatic failure is a condition associated with high mortality primarily in absence of hepatic transplantation facilities. Hence focus of efforts should be in providing preventive steps such as immunization and society education.