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Degeneración hepatocerebral - Symptom

Nombres alternativos

Degeneración hepatocerebral crónica adquirida (no Wilsoniana)

Síntomas:

Los síntomas pueden abarcar:

  • Dificultad para caminar
  • Deterioro de la función intelectual
  • Ictericia
  • Espasmos musculares (mioclonía)
  • Rigidez
  • Agitación de las manos, la cabeza (temblor)
  • Fasciculaciones
  • Movimientos corporales incontrolables (corea)
  • Marcha inestable (ataxia)

Signos y exámenes:

Los signos abarcan:

  • Coma
  • Líquido en el abdomen que causa hinchazón (ascitis)
  • Sangrado gastrointestinal por las venas distendidas en el esófago (várices esofágicas)

Una evaluación del sistema nervioso (neurológica) puede revelar signos de:

  • Demencia
  • Movimientos involuntarios
  • Inestabilidad en la marcha

Las pruebas de laboratorio pueden mostrar un nivel elevado de amoníaco en el torrente sanguíneo y funcionamiento hepático anormal.

Otros exámenes pueden abarcar:

  • Reviewed last on: 7/7/2010
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Garcia-Tiso G. Cirrhosis and its sequellae. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 157.

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