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Hjerneforandringer ved alvorlig leversykdom. Leverencefalopati

Ved alvorlig leversykdom hoper det seg opp med avfallsstoffer i sirkulasjonen. Slike stoffer kan påvirke og sløve hjernen og ende opp i en livstruende tilstand.

Leverencefalopati oppstår ved alvorlig leversykdom (levercirrhose) og ved akutte leverskader.

Sist oppdatert:

7. juni 2023

Dette dokumentet er basert på det profesjonelle dokumentet Leverencefalopati . Referanselisten for dette dokumentet vises nedenfor

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  3. Wolf DC. Hepatic encephalopathy. Medscape, last updated Apr 04, 2019. emedicine.medscape.com
  4. Brusilow SW, Koehler RC, Traystman RJ, and Cooper AJ. Astrocyte glutamine synthetase: importance in hyperammonemic syndromes and potential target for therapy. Neurotherapeutics, 2010; 7:452–470.
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  9. Rahimi RS, Singal AG, Cuthbert JA, et al. Lactulose vs Polyethylene Glycol 3350-Electrolyte Solution for Treatment of Overt Hepatic Encephalopathy: The HELP Randomized Clinical Trial. JAMA Intern Med. 2014 Sep 22
  10. Bass NM, Mullen KD, Sanyal A, et al. Rifaximin treatment in hepatic encephalopathy. N Engl J Med 2010 Mar 25;362(12):1071-81 PubMed
  11. Sanyal A, Younossi ZM, Bass NM, et al. Randomised clinical trial: rifaximin improves health-related quality of life in cirrhotic patients with hepatic encephalopathy - a double-blind placebo-controlled study, Aliment Pharmacol Ther 2011 Oct;34(8):853-61.
  12. Sharma BC, Sharma P, Lunia MK, et al. A randomized, double-blind, controlled trial comparing rifaximin plus lactulose with lactulose alone in treatment of overt hepatic encephalopathy. Am J Gastroenterol 2013 Jul 23. doi: 10.1038/ajg.2013.219. DOI
  13. Butterworth RF, McPhail MJW, L-Ornithine L-Aspartate (LOLA) for Hepatic Encephalopathy in Cirrhosis: Results of Randomized Controlled Trials and Meta-Analyses. Drugs 2019;79: 31-37 PubMed
  14. López-Franco Ó, Morin JP, Cortés-Sol A, Molina-Jiménez T, Del Moral DI, Flores-Muñoz M, Roldán-Roldán G, Juárez-Portilla C, Zepeda RC, Cognitive Impairment After Resolution of Hepatic Encephalopathy: A Systematic Review and Meta-Analysis. Front Neurosci 2021;15: 579263 PubMed
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