Tudela Pere, Soldevila Berta, Mòdol Josep Maria, Domènech Eugeni
Unitat de Curta Estada, Emergency Unit, Hospital Universitari Germans Trias i Pujol, Badalona, Catalonia, Spain.
Dig Dis Sci. 2007 Nov;52(11):3296-7. doi: 10.1007/s10620-006-9159-4. Epub 2007 Apr 11.
Cirrhotic patients with hepatocellular carcinoma (HCC) frequently develop hepatic encephalopathy. Metabolic etiology of encephalopathy is less often considered in these patients. Although paraneoplastic hypercalcemia may be associated with several malignant tumors, it has also been described in HCC [1-4], and may cause neurologic disturbances. We present a case of hypercalcemic encephalopathy in a patient with hepatic cirrhosis and underlying HCC in whom first diagnostic was hepatic encephalopathy.
患有肝细胞癌（HCC）的肝硬化患者经常会出现肝性脑病。在这些患者中，较少考虑脑病的代谢病因。虽然副肿瘤性高钙血症可能与几种恶性肿瘤有关，但在HCC中也有相关描述[1-4]，并且可能导致神经功能障碍。我们报告一例肝硬化合并潜在HCC患者发生高钙血症性脑病的病例，该患者最初诊断为肝性脑病。
