Department of Internal Medicine, Rutgers- Robert Wood Johnson Medical School, 125 Paterson Street, CAB 7302, New Brunswick, NJ 08901, USA.
Department of Internal Medicine, Rutgers- Robert Wood Johnson Medical School, 125 Paterson Street, CAB 7302, New Brunswick, NJ 08901, USA.
Clin Liver Dis. 2020 May;24(2):209-218. doi: 10.1016/j.cld.2020.01.012. Epub 2020 Mar 2.
Minimal hepatic encephalopathy, previously called subclinical hepatic encephalopathy, represents the earliest and mildest form of hepatic encephalopathy. It is the most under-recognized and underdiagnosed form of hepatic encephalopathy. Although there is no diagnostic gold standard, validated testing modalities have been devised to detect this neurocognitive complication. The newest developments include medically related apps for smartphones or tablets that can be easily used to diagnose and monitor minimal hepatic encephalopathy. Although recognition of this neurocognitive impairment can be challenging, early detection is paramount with the discovery of an association with worse clinical outcomes in patients diagnosed with minimal hepatic encephalopathy.
轻微型肝性脑病，以前称为亚临床肝性脑病，代表肝性脑病最早和最轻微的形式。它是最被低估和漏诊的肝性脑病形式。尽管没有诊断的金标准，但已经设计出了经过验证的检测方法来检测这种神经认知并发症。最新的发展包括用于智能手机或平板电脑的医学相关应用程序，可以轻松用于诊断和监测轻微型肝性脑病。尽管识别这种神经认知障碍可能具有挑战性，但早期检测至关重要，因为发现与诊断为轻微型肝性脑病的患者的临床结果恶化有关。
