Title: Psychometric Hepatic Encephalopathy Score for the Detection of Minimal Hepatic Encephalopathy in South Indian patients with Liver Cirrhosis
Authors: Kumaravel Gopal, Pradeep Kumar Mamallan, Dhananjayan Kannan, Suresh Paul Raj Mohan Raj
DOI: https://dx.doi.org/10.18535/jmscr/v7i3.103
Abstract
Background: MHE is the mild form of spectrum of HE, defined as a mild neurocognitive and psychomotor disorder present in cirrhotic patients. MHE is not recognizable on usual clinical examination, requiring the use of PHES.The objective of this study was to standardize PHES[4] in healthy south Indian population and evaluate the prevalence of MHE among south Indian patients with cirrhosis.
Materials and Methods: This is a case control study done at Kilpauk Medical College. 40 cases diagnosed as cirrhosis admitted there and 40 controls were subjected to PHES testing.
Results: 19 patients (47.5%) with cirrhosis were diagnosed with MHE in present study with PHES score.
Conclusion: PHES study is statistically significant in detecting MHE in cirrhotic patients, and correlates with severity.
Keywords: Encephalopathy, Cirrhosis, Ammonia,Ascites, Bilirubin.
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