TY - JOUR
T1 - Ictal Blinking in Hepatic Encephalopathy Pre- and Post-Liver Transplant
T2 - Report of Eight Patients
AU - Koul, Roshan
AU - Maiwall, Rakhi
AU - Alam, Seema
AU - Pamecha, Vineynder
AU - Tevethia, Harsh Vardhan
AU - Sarin, Shiv K.
N1 - Publisher Copyright:
© 2022 GeorgThieme. All right reserved.
Association for Helping Neurosurgical Sick People. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).
PY - 2022/8/13
Y1 - 2022/8/13
N2 - Objective Seizures are reported in 20 to 30% of cases with chronic liver disease in association with hepatic encephalopathy. Majority of these are focal seizures. Ictal blinking is reported first time in these patients pre- and post-liver transplant. Methods From November 2018 to October 2021, retrospective data was analyzed in patients with end-stage liver disease and hepatic encephalopathy, both pre- and post-liver transplant. Results Eight patients had ictal blinking, four were pre-transplant and four post-transplant. Five patients (four after liver transplant and one pre-transplant) were seizure free, three died of liver disease and multiorgan dysfunction, and one did not follow-up. Conclusion Ictal blinking in relation to liver disease and hepatic encephalopathy is reported, often missed and requires short duration antiepileptic medications.
AB - Objective Seizures are reported in 20 to 30% of cases with chronic liver disease in association with hepatic encephalopathy. Majority of these are focal seizures. Ictal blinking is reported first time in these patients pre- and post-liver transplant. Methods From November 2018 to October 2021, retrospective data was analyzed in patients with end-stage liver disease and hepatic encephalopathy, both pre- and post-liver transplant. Results Eight patients had ictal blinking, four were pre-transplant and four post-transplant. Five patients (four after liver transplant and one pre-transplant) were seizure free, three died of liver disease and multiorgan dysfunction, and one did not follow-up. Conclusion Ictal blinking in relation to liver disease and hepatic encephalopathy is reported, often missed and requires short duration antiepileptic medications.
KW - CT
KW - EEG
KW - MRI
KW - chronic liver disease
KW - cirrhosis
KW - hepatic encephalopathy
KW - ictal blinking
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U2 - 10.1055/s-0042-1750136
DO - 10.1055/s-0042-1750136
M3 - Article
C2 - 35971395
AN - SCOPUS:85136307074
SN - 0976-3147
VL - 13
SP - 476
EP - 482
JO - Journal of Neurosciences in Rural Practice
JF - Journal of Neurosciences in Rural Practice
IS - 3
ER -