Minimal hepatic encephalopathy: current clinical and pathogenetic aspects.

Abstract:

:The review considers modern ideas about the clinic and pathogenesis of minimal hepatic encephalopathy (MHE). It is discussed the present of cognitive impairment in this category of patients. The data of functional MRI are analyzed, and these results allow taking a fresh look at the origin of clinical disorders in this condition. The importance of cerebral connections disruption is emphasized. It is focused on the fact that in the functioning of the central nervous system the spontaneous activity of the brain has a significant importance. Separately is analyzed "the resting state". It is concluded that MHE, despite its minimal manifestations, is a clinically significant condition requiring attention of a specialists. With that, it is often not diagnosed on time in clinical practice, which could lead to more severe damage of the cerebral functions. As evidenced by the data obtained at the present time, quite extensive changes in the neuronal activity are underlid of the cognitive deficit.

journal_name

Ter Arkh

journal_title

Terapevticheskii arkhiv

authors

Damulin IV

doi

10.26442/terarkh201890289-93

subject

Has Abstract

pub_date

2018-02-15 00:00:00

pages

89-93

issue

2

eissn

0040-3660

issn

2309-5342

journal_volume

90

pub_type

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