Which conditions should be included in the differential diagnoses of hepatic encephalopathy?

Updated: Jul 30, 2018
  • Author: David C Wolf, MD, FACP, FACG, AGAF, FAASLD; Chief Editor: BS Anand, MD  more...
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Answer

Answer

Conditions to consider in the differential diagnosis of encephalopathy include the following:

  • Intracranial lesions - Eg, subdural hematoma, intracranial bleeding, cerebrovascular accident, tumor, abscess

  • Infections - Eg, meningitis, encephalitis, abscess

  • Metabolic encephalopathy - Eg, hypoglycemia, electrolyte imbalance, anoxia, hypercarbia, uremia

  • Hyperammonemia from other causes - Eg, secondary to ureterosigmoidostomy, inherited urea cycle disorders

  • Toxic encephalopathy due to alcohol - Eg, acute intoxication, alcohol withdrawal, Wernicke encephalopathy

  • Toxic encephalopathy due to drugs - Eg, sedative-hypnotics, antidepressants, antipsychotic agents, salicylates

  • Organic brain syndrome

  • Postseizure encephalopathy


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