Minimal hepatic encephalopathy: Characteristics and comparison of the main diagnostic modalities

Nikola Mumdzhiev; Rumen V. Tenev; Mariana P. Radicheva

doi:10.5114/ceh.2024.145438

eISSN: 2449-8238
ISSN: 2392-1099

Clinical and Experimental Hepatology

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abstract:

Review paper

Minimal hepatic encephalopathy: Characteristics and comparison of the main diagnostic modalities

Nikola Mumdzhiev

^{1, 2}

,

Rumen V. Tenev

^{1, 2}

,

Mariana P. Radicheva

^{1, 2}

UMHAT Prof. Stoyan Kirkovitch, Gastroenterology Department, Stara Zagora, Bulgaria
Trakia University, Medical Faculty, Stara Zagora, Bulgaria

Clin Exp HEPATOL 2024; 10, 4

DOI: https://doi.org/10.5114/ceh.2024.145438

Online publish date: 2024/12/02

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According to the latest clinical guidelines, minimal hepatic encephalopathy (MHE) is diagnosed by using a single test for which the center has experience and local norms. Nowadays, several tests are available.

Here we describe the most frequently used tests: Psychometric Hepatic Encephalopathy Score (PHES), Continuous Reaction Time (CRT), Inhibitory Control Test (ICT), Stroop test, Animal Naming Test (ANT), critical flicker frequency (CFF) and electroencephalography (EEG) using characteristics such as: creation specificity, neurocognitive domains, computerized vs. pencil and paper, translatability, time to perform, learning effect, affecting factors, local norms, copyright, medical equipment and need for specific training. After that we briefly address comparison of the results of different tests or test combinations. Such information may prove useful to anyone new to the field of minimal hepatic encephalopathy.

keywords:

Minimal hepatic encephalopathy: Characteristics and comparison of the main diagnostic modalities

Nikola Mumdzhiev 1, 2 , Rumen V. Tenev 1, 2 , Mariana P. Radicheva 1, 2

modalities, diagnosis, characteristics, minimal hepatic encephalopathy, tests

Nikola Mumdzhiev

^{1, 2}

,

Rumen V. Tenev

^{1, 2}

,

Mariana P. Radicheva

^{1, 2}