License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Affiliations
Cristian Scheau
Department of Physiology I, Carol Davila University of Medicine and Pharmacy; Department of Radiology and Medical Imaging, Fundeni Clinical Institute, Bucharest, Romania
Anca Ioana Badarau
Department of Physiology I, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Andreea Elena Ghergus
Department of Radiology and Medical Imaging, Fundeni Clinical Institute, Bucharest, Romania
Gelu Adrian Popa
Department of Radiology and Medical Imaging, Fundeni Clinical Institute, Bucharest, Romania
Ioana Gabriela Lupescu
Department of Radiology and Medical Imaging, Fundeni Clinical Institute, Bucharest, Romania
How to Cite
Minimal Hepatic Encephalopathy Diagnosis by Magnetic Resonance Spectroscopy. A Case Report
Abstract
Minimal Hepatic Encephalopathy (MHE) is a potentially reversible spectrum of neuro-psychiatric alterations in patients with acute or chronic liver disease, in the presence of a normal neurological examination. Studies demonstrated that early diagnosis and treatment of this complication increases the quality of life of the patients and leads to an overall better liver disease management. Currently, a practical method of diagnosing MHE is through psychological tests, with modest accuracy. A highly sensible and specific non-invasive method of diagnosis is Magnetic Resonance Spectroscopy (MRS) which identifies the key neuro-biochemical profile of hepatic encephalopathy. In selected cases of equivocal psychological test results, MRS is justified and adequate according to the authors' opinion.