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
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 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.