OBJECTIVES: Hepatic encephalopathy is a complex of neuropsychiatric manifestations in patients with acute or chronic liver insufficiency and/or porto-systemic shunts. MATERIAL AND METHODS: The diagnostic can be sustained by various elements, clinical and paraclinical. Selected patients with hepatic encephalopathy have been investigated by Magnetic Resonance, in parallel with specific biochemical analysis. OUTCOMES: This paper emphasizes the importance of Magnetic Resonance Imaging in an accurate diagnosis and patient monitoring after treatment. CONCLUSIONS: Magnetic Resonance Spectroscopy has a substantial role, showing even minute metabolite ratio changes, with a potential in investigating minimal hepatic encephalopathy.
OBJECTIVES:Hepatic encephalopathy is a complex of neuropsychiatric manifestations in patients with acute or chronic liver insufficiency and/or porto-systemic shunts. MATERIAL AND METHODS: The diagnostic can be sustained by various elements, clinical and paraclinical. Selected patients with hepatic encephalopathy have been investigated by Magnetic Resonance, in parallel with specific biochemical analysis. OUTCOMES: This paper emphasizes the importance of Magnetic Resonance Imaging in an accurate diagnosis and patient monitoring after treatment. CONCLUSIONS: Magnetic Resonance Spectroscopy has a substantial role, showing even minute metabolite ratio changes, with a potential in investigating minimal hepatic encephalopathy.
Authors: Christopher Randolph; Robin Hilsabeck; Ainobu Kato; Parampreet Kharbanda; Yu-Yuan Li; Daniela Mapelli; Lisa D Ravdin; Manuel Romero-Gomez; Andrea Stracciari; Karin Weissenborn Journal: Liver Int Date: 2009-03-19 Impact factor: 5.828