Open AccessChronic liver disease and hepatic encephalopathy patients with new-onset focal motor status epilepticus: Indicates herpetic encephalitis
Author(s) -
Roshan Koul,
Navin M. Kumar,
Darakshan Naheed,
Shiv Kumar Sarin
Publication year - 2022
Publication title -
journal of neurosciences in rural practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 22
eISSN - 0976-3147
pISSN - 0976-3155
DOI - 10.25259/jnrp-2021-6-30(1812
Subject(s) - medicine , status epilepticus , hepatic encephalopathy , chronic liver disease , encephalitis , encephalopathy , liver disease , disease , gastroenterology , pathology , epilepsy , pediatrics , cirrhosis , immunology , virus , psychiatry
Seizures are not common in cases with chronic liver disease. Overall seizures have been reported in 20-30% of cases in chronic liver disease associated with hepatic encephalopathy. We report two cases of chronic liver disease patients who presented with new-onset refractory focal status epilepticus (SE). Both patients had encephalitis and seizures which responded only when acyclovir was added to the treatment with antiepileptic medication. Herpes encephalitis should be considered as a possible diagnosis in new-onset focal seizures or focal SE in patients with chronic liver disease with or without hepatic encephalopathy, pending further investigations.