Skip to main content
British Medical Journal logoLink to British Medical Journal
. 1970 Jun 13;2(5710):633–636. doi: 10.1136/bmj.2.5710.633

Method for Measuring Cerebral Dysfunction in Patients with Liver Disease

R Zeegen, J E Drinkwater, A M Dawson
PMCID: PMC1700753  PMID: 5429105

Abstract

Objective tests of cerebral function were undertaken in 64 outpatients after portal decompression for intrahepatic portal hypertension. These involved scoring the errors in constructing a five-pointed star, and a simple modification of the Reitan trail making test. The first test was found to be less discriminating than the second. There was some correlation between the results and the presence or absence of overt encephalopathy, which—though generally mild—was present in 30 (47%) of the 64 patients.

Full text

PDF
633

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ADAMS R. D., FOLEY J. M. The neurological disorder associated with liver disease. Res Publ Assoc Res Nerv Ment Dis. 1953;32:198–237. [PubMed] [Google Scholar]
  2. DAVIDSON E. A., SUMMERSKILL W. H. Psychiatric aspects of liver disease. Postgrad Med J. 1956 Oct;32(372):487–494. doi: 10.1136/pgmj.32.372.487. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Grace N. D., Muench H., Chalmers T. C. The present status of shunts for portal hypertension in cirrhosis. Gastroenterology. 1966 May;50(5):684–691. [PubMed] [Google Scholar]
  4. KERR D. N., HARRISON C. V., SHERLOCK S., WALKER R. M. Congenital hepatic fibrosis. Q J Med. 1961 Jan;30:91–117. [PubMed] [Google Scholar]
  5. McDermott W. V., Jr, Barnes B. A., Nardi G. L., Ackroyd F. W. Postshunt encephalopathy. Surg Gynecol Obstet. 1968 Mar;126(3):585–590. [PubMed] [Google Scholar]
  6. Panke W. F., Rousselot L. M., Burcheli A. R. A sixteen-year experience with end-to-side portacaval shunt for varical hemorrhage: analysis of data and comparison with other types of portasystemic anastomoses. Ann Surg. 1968 Dec;168(6):957–965. doi: 10.1097/00000658-196812000-00003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. ROUSSELOT L. M., PANKE W. F., BONO R. F., MORENO A. H. Experiences with portacaval anastomosis. Analysis of 104 elective end-to-side shunts for the prevention of recurrent hemorrhage from esophagogastric varices (1952 through 1961). Am J Med. 1963 Mar;34:297–307. doi: 10.1016/0002-9343(63)90116-5. [DOI] [PubMed] [Google Scholar]
  8. Renwick S. B., Loewenthal J., Mills F. H. Spleno-renal anastomosis: results in 47 cases. Med J Aust. 1969 Apr 12;1(15):755–760. doi: 10.5694/j.1326-5377.1969.tb105508.x. [DOI] [PubMed] [Google Scholar]
  9. Resnick R. H., Chalmers T. C., Ishihara A. M., Garceau A. J., Callow A. D., Schimmel E. M., O'Hara E. T. A controlled study of the prophylactic portacaval shunt. A final report. Ann Intern Med. 1969 Apr;70(4):675–688. doi: 10.7326/0003-4819-70-4-675. [DOI] [PubMed] [Google Scholar]

Articles from British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES