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Degeneración hepatocerebral - Treatment

Nombres alternativos

Degeneración hepatocerebral crónica adquirida (no Wilsoniana)

Tratamiento:

El tratamiento ayuda a reducir los químicos tóxicos que se acumulan a raíz de la insuficiencia hepática. Puede incluir antibióticos o un medicamento como lactulosa, el cual disminuye el nivel de amoníaco en la sangre.

Un tratamiento llamado terapia de aminoácidos de cadena ramificada también puede mejorar los síntomas y contrarrestar el daño cerebral a raíz de esta afección.

No existe tratamiento específico para el síndrome neurológico, ya que éste es ocasionado por el daño hepático irreversible. Un trasplante de hígado puede curar la enfermedad hepática; sin embargo, es posible que esta operación no contrarreste los síntomas del daño cerebral.

Expectativas (pronóstico):

Ésta es una afección a largo plazo (crónica) que puede llevar a que se presenten síntomas del sistema nervioso (neurológicos ) irreversibles.

Es posible que el paciente continúe empeorando y puede morir sin un trasplante de hígado. Si el trasplante se lleva a cabo en las primeras etapas de la enfermedad, el síndrome neurológico puede ser reversible.

Complicaciones:

Las complicaciones abarcan:

Situaciones que requieren asistencia médica:

Consulte con el médico si tiene cualquier tipo de síntomas de enfermedad hepática.

  • 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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