RESUMO
Brain bioelectric activity in 52 patients with liver cirrhosis (LC) was measured with respect to the degree of hepatic encephalopathy (HE) from the results of background and reactive EEG using West Haven criteria. As the severity of LC increased, signs of HE on background EEG appeared, index frequency and a-rhythm decreased and its amplitude increased. Reactive EEG was indicative of reduced duration, intensity, and decrement rate of responses to orientational loading (visual, somatosensorial, and auditory evoked potentials). It is concluded that EEG studies permit to predict dynamics of LC clinical course and may be used as an additional diagnostic tool, especially at the preclinical stage of HE.
Assuntos
Eletroencefalografia/métodos , Potenciais Evocados/fisiologia , Encefalopatia Hepática/fisiopatologia , Cirrose Hepática/fisiopatologia , Adulto , Idoso , Feminino , Encefalopatia Hepática/diagnóstico , Humanos , Cirrose Hepática/diagnóstico , Masculino , Pessoa de Meia-Idade , Prognóstico , Índice de Gravidade de DoençaAssuntos
Doenças do Sistema Nervoso Autônomo/etiologia , Discinesia Biliar/etiologia , Colecistite/complicações , Transtornos do Humor/etiologia , Opistorquíase/complicações , Adulto , Anti-Helmínticos/uso terapêutico , Doenças do Sistema Nervoso Autônomo/fisiopatologia , Discinesia Biliar/fisiopatologia , Colecistite/tratamento farmacológico , Doença Crônica , Vesícula Biliar/fisiopatologia , Humanos , Opistorquíase/tratamento farmacológico , Psicotrópicos/uso terapêuticoRESUMO
A complex clinico-instrumental, laboratory and psychological examination of 122 patients with chronic non-calculous cholecystitis (CNCC), 63 of who had chronic opisthorchosis (CO), was conducted. The controls were 33 healthy individuals. Patients with CNCC and CO had hypomotoric dyskinesia, Oddi's sphincter dysfunction, higher levels of personal anxiety and depression more often than others.