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Cerebral Hemodynamics Influence on the Current and Prediction of Hepatic Encephalopathy
International Journal of Infectious Diseases and Therapy
Volume 3, Issue 1, March 2018, Pages: 18-23
Received: Jan. 18, 2018; Accepted: Mar. 5, 2018; Published: Mar. 28, 2018
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Authors
Boris Fishman, Department of Internal Diseases, Yaroslav the Wise State University of Novgorod, Velikiy Novgorod, Russia
Victor Veber, Department of Internal Diseases, Yaroslav the Wise State University of Novgorod, Velikiy Novgorod, Russia
Vladimir Kulikov, Department of Hospital Therapy, Ulyanovsk State University, Ulyanovsk, Russia
Marat Hapman, Department of Hospital Therapy, Ulyanovsk State University, Ulyanovsk, Russia
Оlga Denisova, Department of Hospital Therapy, Ulyanovsk State University, Ulyanovsk, Russia
Ksenia Nikolaeva, Department of Hospital Therapy, Ulyanovsk State University, Ulyanovsk, Russia
Vasily Zurabov, Department of Internal Diseases, Yaroslav the Wise State University of Novgorod, Velikiy Novgorod, Russia
Mikhail Yukhno, Department of Internal Diseases, Yaroslav the Wise State University of Novgorod, Velikiy Novgorod, Russia
Oksana Lole, The "Central Clinical Hospital", Veliky Novgorod, Russia
Pavel Starikov, Department of Internal Diseases, Yaroslav the Wise State University of Novgorod, Velikiy Novgorod, Russia
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Abstract
Among patients of different ages with hepatocirrhosis of A, B, C virus viral etiology in Child-Pugh, chronic hepatic encephalopathy of all stages may occur along with discirculatory disorders with the development of chronic cerebrovascular insufficiency. The Reitan test duration is more than 200 seconds, blood flow hemispheric asymmetry is more than 40%, the decrease in the velocity parameters of the blood flow and the indices of vascular resistance in the basins of the middle cerebral arteries decrease below the reference values are associated with the adverse hepatic encephalopathy prognosis. The degrees of cognitive and discirculatory disorders are interrelated with the compensation stages for hepatocirrhosis. An increase of cognitive impairment degree from the logical thinking ability and attention to time and space disorientation is registered along with discirculatory disorders and cirrhosis compensation stage decrease.
Keywords
Hepatocirrhosis, Hepatic Encephalopathy, Cerebral Hemodynamics, Dyscirculatory Disorders, Discirculatory Encephalopathy
To cite this article
Boris Fishman, Victor Veber, Vladimir Kulikov, Marat Hapman, Оlga Denisova, Ksenia Nikolaeva, Vasily Zurabov, Mikhail Yukhno, Oksana Lole, Pavel Starikov, Cerebral Hemodynamics Influence on the Current and Prediction of Hepatic Encephalopathy, International Journal of Infectious Diseases and Therapy. Vol. 3, No. 1, 2018, pp. 18-23. doi: 10.11648/j.ijidt.20180301.14
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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