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Hypercalcemic encephalopathy in a patient with hepatocellular carcinoma
Pere Tudela1, Berta Soldevila, Josep Maria Mòdol
1Unitat de Curta Estada, Emergency Unit, Hospital Universitari Germans Trias i Pujol, Badalona, Catalonia, Spain.
Abstract:
Cirrhotic patients with hepatocellular carcinoma (HCC) frequently develop hepatic encephalopathy. Metabolic etiology of encephalopathy is less often considered in these patients. Although paraneoplastic hypercalcemia may be associated with several malignant tumors, it has also been described in HCC [1-4], and may cause neurologic disturbances. We present a case of hypercalcemic encephalopathy in a patient with hepatic cirrhosis and underlying HCC in whom first diagnostic was hepatic encephalopathy.
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