摘要
A 62-year-old male with decompensated liver cirrhosis due to hepatitis C virus developed severe hepatic encephalopathy with status epileptic us. The blood ammonia level on admission was more than twice the normal level. Brain computed tomography and magnetic resonance imaging were normal. In addition, electroencephalogram showed diffuse sharp waves, consistent with hepatic encephalopathy. The status epilepticus was resolved after antiepileptic therapy （phenytoin sodium） and treatment for hepatic encephalopathy （Branched chain amino acids）. The blood ammonia level normalized with the clinical improvement and the patient did not have a recurrence of status epilepticus after the end of the antiepileptic treatment. Additionally, the electroencephalogram showed normal findings. Thus, we diagnosed the patient as hepatic encephalopathy with status epilepticus. We consider the status epilepticus of this patient to a rare and interesting finding in hepatic encephalopathy.
有患心脏代偿失调的肝肝硬化的 62 岁的男性与地位 epileptic 由于丙肝病毒开发了严重肝的脑病我们。承认上的血氨水平是多于两次正常铺平。大脑计算了断层摄影术，磁性的回声成像是正常的。另外，脑电图显示出弥漫的锋利的波浪，与肝的脑病一致。地位 epileptic 我们为肝的脑病(分叉的链氨基酸) 在镇癫痫剂治疗(phenytoin ) 和治疗以后被解决。与临床的改进和病人使正常化的血氨水平没有地位 epileptic 的复发我们在镇癫痫剂治疗的结束以后。另外，脑电图显示出正常调查结果。因此，我们与地位 epileptic 作为肝的脑病诊断了病人我们。我们这个病人认为地位 epileptic 是我们到一稀罕、有趣在肝的脑病发现。
