Organic delirious states and other psychiatric disorders: lessons for the hepatologists
- 224 Downloads
Hepatic encephalopathy (HE) is characterized by a wide variety of neuropsychiatric symptoms, and from a psychiatric perspective its nosological status calls for clarification. According to the ICD-10 classification, it can be classified as delirium due to overt HE´s core symptom of clouding of consciousness in increasing degrees. Minimal/covert HE with impairment of neurocognitive function is more difficult to classify and could correspond to Mild Cognitive Impairment or mild degrees of dementia. However, the advantages of current psychiatric nosology is the possibility of thorough characterization of both dispositional and premorbid psychopathology as well as psychiatric morbidity induced by liverdiseases or even treatment. A future closer collaboration between hepatologists and psychiatrists is advocated.
KeywordsHepatic encephalopathy Psychopathology Psychiatric classification Psychiatry Nosology
- Kappus MR, Bajaj JS (2012) Covert hepatic encephalopathy: Not as minimal as you might think. Clinical gastroenterology and hepatology: the official clinical practice journal of the American Gastroenterological AssociationGoogle Scholar
- World Health Organization (1992) The ICD-10 Classification of Mental and Behavioural Disorders. World Health Organization, Geneva, pp 1–362Google Scholar
- American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders. American Psychiatric Association, Washington, pp 1–886Google Scholar
- Sperling RA, Aisen PS, Beckett LA, Bennett DA, Craft S, Fagan AM et al (2011) Toward defining the preclinical stages of Alzheimer's disease: recommendations from the National Institute on Aging-Alzheimer's Association workgroups on diagnostic guidelines for Alzheimer's disease. Alzheimers Dement 7(3):280–292PubMedCrossRefGoogle Scholar