Encephalopathy natural history: Difference between revisions

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* Increased intracranial pressure
* Increased intracranial pressure


* Coma
* Coma

Revision as of 17:10, 20 July 2012

Encephalopathy

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Overview

Classification

Pathophysiology

Causes

Differentiating Encephalopathy from other Diseases

Epidemiology & Demographics

Risk Factors

Screening

Natural History, Complications & Prognosis

Diagnosis

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Physical Examination

Laboratory Findings

Electrocardiogram

Electroencephalogram

Chest X Ray

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Treatment

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Surgery

Prevention

Cost-Effectiveness of Therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]

Overview

Encephalopathies of different types have different ways of progression of disease. Few conditions can lead to abrupt onset and few develop over a period of time. Some types are completely reversible where are few cause irreversible damage and dysfunction. Most encephalopathies have similar kind of progression with little variation.

Natural History

Patients presenting with encephalopathy usually have history of any chronic disease or precipitating factors for encephalopathy. In conditions of stress or infections these factors lead to presentation of encephalopathy. Symptoms are quite varied among the different types of encephalopathies. They can be ranging from sub-clinical presentation to coma. Encephalopathies are the presentation of severe disease which if untreated never resolves on its own. Prompt identification and treatment are warranted in these conditions, if delayed chances of residual neurological effects are more.

Complications

Encephalopathies due to few conditions like electrolyte imbalances , drugs and poisons when treated accurately and promptly may recover completely with out any complications. Metabolic causes, organ failures, sepsis may progress to complications.

  • Recovery with residual neurologic effects
  • Increased intracranial pressure
  • Coma
  • Death

Prognosis

Treating the underlying cause of the disorder may improve or reverse symptoms. However, in some cases, the encephalopathy may cause permanent structural changes and irreversible damage to the brain. Some encephalopathies can be fatal.

References

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