The efficacy of flumazenil in subclinical to mild hepatic encephalopathic ambulatory patients
Author(s) -
Mehmet Dursun,
Mustafa Çalışkan,
Fikri Canoruç,
Ufuk Aluçlu,
Naime Canoruç,
Alpaslan Tuzcu,
Şerif Yılmaz,
Abdurrahman Işıkdoğan,
Melikşah Ertem
Publication year - 2003
Publication title -
schweizerische medizinische wochenschrift
Language(s) - English
Resource type - Journals
ISSN - 0036-7672
DOI - 10.4414/smw.2003.10107
Subject(s) - medicine , flumazenil , hepatic encephalopathy , encephalopathy , cirrhosis , fulminant hepatic failure , anesthesia , placebo , gastroenterology , benzodiazepine , liver transplantation , transplantation , pathology , receptor , alternative medicine
Hepatic encephalopathy (HE) is a neuropsychiatric syndrome associated with fulminant hepatic failure and chronic liver disease. Its pathogenesis is unclear. One of the factors implicated is enhanced GABA-ergic tone, which is probably related to increased concentrations of cerebral benzodiazepine (BNZ). In the present study, we tested flumazenil, a cerebral BNZ antagonist, in cirrhosis patients with hepatic encephalopathy.
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