《英文msh詞典》Coma,Hepatic
[入口詞] Coma,Hepatic
[主題詞] Hepatic Encephalopathy
[英文釋義] A syndrome characterized by central nervous system dysfunction in association with LIVER FAILURE,including portal-systemic shunts. Clinical features include lethargy and CONFUSION (frequently progressing to COMA); asterixis; NYSTAGMUS; brisk oculovestibular reflexes; decorticate and decerebrate posturing; MUSCLE SPASTICITY; and bilateral extensor plantar reflexes (see REFLEX,BABINSKI). ELECTROENCEPHALOGRAPHY may demonstrate triphasic waves. (From Adams et al.,Principles of Neurology,6th ed,pp1117-20; Plum & Posner,Diagnosis of Stupor and Coma,3rd ed,p222-5)