encephalopathy
encephalopathy
see also:
introduction
- a broad term which is variably used but essentially is used when there is acute or subacute global organic dysfunction of cerebral function which may or may not be reversible
- this usually results in inability to concentrate, personality changes, lethargy, loss of cognitive function, delirium and decreased conscious state.
- there may be associated myoclonus, asterixis, nystagmus, tremor, seizures, and restless picking at objects
aetiology
-
- acute hypertensive encephalopathy, severe pre-eclampsia and eclampsia or some cytotoxics may cause:
- hypoxic or ischaemic
- Wernicke's
- chronic traumatic (repeated concussions)
- toxic - medications, substances
- metabolic derangements
- rare causes:
- progressive multifocal leukoencephalopathy (PML) (mainly immunosuppressed patients including AIDS)
- mitochondrial DNA dysfunction
- glycine - genetic
- Hashimoto's - autoimmune
- Lyme disease
- transmissible spongiform encephalopathy due to prions
- encephalomyopathy due to chronic hypophosphatemia, as may occur in cystinosis or mitochonrial disease such as MELAS
encephalopathy.txt · Last modified: 2018/08/13 12:50 by 127.0.0.1