Ictal Blinking in Hepatic Encephalopathy Pre- and Post-Liver Transplant: Report of Eight Patients

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, ret...

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Autores principales: Koul, Roshan, Maiwall, Rakhi, Alam, Seema, Pamecha, Vineynder, Tevethia, Harsh Vardhan, Sarin, Shiv K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2022
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9375689/
https://www.ncbi.nlm.nih.gov/pubmed/35971395
http://dx.doi.org/10.1055/s-0042-1750136
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author Koul, Roshan
Maiwall, Rakhi
Alam, Seema
Pamecha, Vineynder
Tevethia, Harsh Vardhan
Sarin, Shiv K.
author_facet Koul, Roshan
Maiwall, Rakhi
Alam, Seema
Pamecha, Vineynder
Tevethia, Harsh Vardhan
Sarin, Shiv K.
author_sort Koul, Roshan
collection PubMed
description 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.
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spelling pubmed-93756892022-08-14 Ictal Blinking in Hepatic Encephalopathy Pre- and Post-Liver Transplant: Report of Eight Patients Koul, Roshan Maiwall, Rakhi Alam, Seema Pamecha, Vineynder Tevethia, Harsh Vardhan Sarin, Shiv K. J Neurosci Rural Pract 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. Thieme Medical and Scientific Publishers Pvt. Ltd. 2022-08-13 /pmc/articles/PMC9375689/ /pubmed/35971395 http://dx.doi.org/10.1055/s-0042-1750136 Text en 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/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Koul, Roshan
Maiwall, Rakhi
Alam, Seema
Pamecha, Vineynder
Tevethia, Harsh Vardhan
Sarin, Shiv K.
Ictal Blinking in Hepatic Encephalopathy Pre- and Post-Liver Transplant: Report of Eight Patients
title Ictal Blinking in Hepatic Encephalopathy Pre- and Post-Liver Transplant: Report of Eight Patients
title_full Ictal Blinking in Hepatic Encephalopathy Pre- and Post-Liver Transplant: Report of Eight Patients
title_fullStr Ictal Blinking in Hepatic Encephalopathy Pre- and Post-Liver Transplant: Report of Eight Patients
title_full_unstemmed Ictal Blinking in Hepatic Encephalopathy Pre- and Post-Liver Transplant: Report of Eight Patients
title_short Ictal Blinking in Hepatic Encephalopathy Pre- and Post-Liver Transplant: Report of Eight Patients
title_sort ictal blinking in hepatic encephalopathy pre- and post-liver transplant: report of eight patients
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9375689/
https://www.ncbi.nlm.nih.gov/pubmed/35971395
http://dx.doi.org/10.1055/s-0042-1750136
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