Hungarian Medical Journal
Volume/Issue:
Volume 2: Issue 3
Non-Hepatic Coma in a Cirrhotic Patient due to Chronic Subdural Hematoma
Authors:
Peter Igaz Faculty of Medicine, Semmelweis University 2nd Department of Medicine Szentkirályi u. 46 H-1088 Budapest Hungary

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Nikolette Szücs Faculty of Medicine, Semmelweis University 2nd Department of Medicine Szentkirályi u. 46 H-1088 Budapest Hungary

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Tibor Retteghy Péterfy Municipal Hospital and Trauma Center Intensive Care Unit Budapest Hungary

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Katalin Leiszter Faculty of Medicine, Semmelweis University 2nd Department of Medicine Szentkirályi u. 46 H-1088 Budapest Hungary

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Krisztina Hagymási Faculty of Medicine, Semmelweis University 2nd Department of Medicine Szentkirályi u. 46 H-1088 Budapest Hungary

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Károly Rácz Faculty of Medicine, Semmelweis University 2nd Department of Medicine Szentkirályi u. 46 H-1088 Budapest Hungary

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Zsolt Tulassay

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Pages:
451–453
Online Publication Date:
28 Sep 2008
Publication Date:
01 Sep 2008
Article Category:
Research Article
DOI:
https://doi.org/10.1556/hmj.2.2008.3.12
Keywords:
hepatic encephalopathy; cirrhosis; subdural hematoma; ammonia; hypertension
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Hepatic encephalopathy is the most frequent cause of altered mental status and coma in cirrhotic patients. In this report we describe an interesting case of a differential diagnostic pitfall, where a cirrhotic patient with compromised mental status initially supposed to suffer from hepatic encephalopathy turned out to have a non-traumatic chronic subdural hematoma. The major points leading to diagnosis were almost normal ammonia, hypertension and deteriorating overall condition despite targeted therapy of hepatic encephalopathy. In comatose cirrhotic patients with normal ammonia and hypertension intracranial hemorrhage should be excluded.

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Cover Hungarian Medical Journal
Hungarian Medical Journal
Print ISSN:
1788-6139
Online ISSN:
1789-0403

Hungarian Medical Journal
Language English
Size  
Year of
Foundation		 2007
Publication
Programme		 ceased
Volumes
per Year		  
Issues
per Year		  
Publisher Akadémiai Kiadó
Publisher's
Address		 H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Responsible
Publisher		 Chief Executive Officer, Akadémiai Kiadó
ISSN 1788-6139 (Print)
ISSN 1789-0403 (Online)

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