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Acquired hepatocerebral degeneration: a case report
Wei-Xing Chen1, Ping Wang, Sen-Xiang Yan
1Department of Gastroenterology, First Affiliated Hospital, College of Medicine, Zhejiang University, 261 Qingchun Road, Hangzhou 310003, Zhejiang Province, China.
World Journal of Gastroenterology
|January 19, 2005
Summary
Acquired hepatocerebral degeneration (AHD) is a rare hepatic encephalopathy presenting with varied symptoms. This case highlights AHD
Area of Science:
- Neurology
- Hepatology
- Neuroscience
Background:
- Acquired hepatocerebral degeneration (AHD) is a rare hepatic encephalopathy (HE) presenting with neuropsychiatric and extrapyramidal symptoms.
- AHD shares clinical similarities with Wilson's disease, complicating differential diagnosis.
Observation:
- A 28-year-old male with HBV-related liver cirrhosis presented with apathy, dysarthria, mild consciousness impairment, and extrapyramidal symptoms following hematemesis.
- The patient's presentation included consciousness impairment, an atypical feature for AHD based on literature review.
Findings:
- The patient was initially misdiagnosed with Wilson's disease due to overlapping symptoms.
- Review of literature indicated that consciousness impairment is not a common presentation in AHD.
Implications:
- The variable clinical manifestations of AHD pose diagnostic challenges.
- Thorough examination and understanding of AHD's diverse presentations are crucial for accurate diagnosis.
- Biocoene demonstrated efficacy in managing this AHD case.