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Etiology and symptoms of encephalopathy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2009
Answered : 552 Questions
User :   what is encelopathy and what part of the brain does it control
Doctor :   Hi
Doctor :   I am Dr
User :   hello
Doctor :   How can I help you ?
User :   what is encelopathy
Doctor :   Do you mean to say Encephalopathy ?
User :   yes
Doctor :   It affects the Cerebrum or the cerebral cortex.
User :   what part of the brain does these control
Doctor :   Cerebrum is a huge part of the brain with two hemispheres , the right and the left and in a way control every vital function of the human body.
Doctor :   It is the seat of wisdom, memory, intelligence and higher brain functions.
User :   my husband was diagnose with this and he is not waking up will he ever recover
Doctor :   Do you mean to ask Encephalopathy of Brain or Liver ?
User :   of the brain
Doctor :   Ok,
Doctor :   Encephalopathy is a very dire scenario but survival rates are good these days due to improved medical facilities.
Doctor :   At least 75% of the patients survive.
Doctor :   What is the age of your husband ?
User :   the doctor stated that he would not wake up will he ever be able to speak, walk or do anything that he use to
Doctor :   What is the age of your husband ?
User :   33
Doctor :   What was the reason the doctors said that he could have got encephalopathy - infection, hepatic or what reason ?
User :   he is end stage renal failure and takes dialysis 3 times a week and he missed one day of dialysis and 2 days later he called me and said he couldn't breath so i called the paramedics and he hasn't awaking since he has been in the hospital
Doctor :   Treating the underlying cause of the disorder may improve or reverse symptoms. However, in some cases, the encephalopathy may cause permanent structural changes and irreversible damage to the brain.
User :   they said that he had fluid that back up on his lungs but when he got to the hospital he had 60 percent of oxygen
Doctor :   I can understand your agony Donetta and i deeply sympathize you, but brain is such an organ where if there is no oxygen for more than 3 mins. it causes permanent damage.
User :   can you tell me what test need to be performed to find out how much damage is done
User :   they say he responds to pain is this normal
Doctor :   They might have rated him on the Glasgow coma scale , could you let me know how much was his rating on it?
User :   I am not sure how they rated him i just know that he responds to pain and if you turn him his eyes open
Doctor :  
1.Complete blood count or CBC (infections, loss of blood)
2.Blood pressure (high or low blood pressure)
3.Metabolic tests (blood levels of electrolytes, glucose, lactate, ammonia, oxygen, and liver enzyme levels)
4.Blood and body fluid cultures and analyses (infections of many types)
5.Creatinine (kidney function)
6.CT and MRI scans (brain swelling, anatomical abnormalities, infections)
7.Encephalogram or EEG (brain damage, abnormal brain wave patterns)
8.Auto-antibody analysis (dementia caused by antibodies that destroy neurons)
Doctor :   Ok, That might be a good indicator, and some patients recover miraculously.
User :   should he be responding to anything if they say he is not going to wake up
Doctor :   If his renal(kidney) profiles improve there is a fair chance of his improvement considering his gae.
User :   thank you for your help
Doctor :   All th best
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