Minimal Hepatic Encephalopathy Diagnosis by Magnetic Resonance Spectroscopy. A Case Report

作者：Scheau Cristian^*; Badarau Anca Ioana; Ghergus Andreea Elena; Popa Gelu Adrian; Lupescu Ioana Gabriela

来源：Journal of Gastrointestinal and Liver Diseases, 2013, 22(4): 455-459.

• Minimal Hepatic Encephalopathy
• Magnetic Resonance Spectroscopy
• Neuropsychological test

Minimal Hepatic Encephalopathy (MHE) is a potentially reversible spectrum of neuro-psychiatric alterations in patients with acute or chronic liver disease, in the presence of a normal neurological examination. Studies demonstrated that early diagnosis and treatment of this complication increases the quality of life of the patients and leads to an overall better liver disease management. Currently, a practical method of diagnosing MHE is through psychological tests, with modest accuracy. A highly sensible and specific non-invasive method of diagnosis is Magnetic Resonance Spectroscopy (MRS) which identifies the key neuro-biochemical profile of hepatic encephalopathy. In selected cases of equivocal psychological test results, MRS is justified and adequate according to the authors' opinion.

• 出版日期2013-12