PMID- 22224122 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20120824 LR - 20211021 IS - 1936-9018 (Electronic) IS - 1936-900X (Print) IS - 1936-900X (Linking) VI - 12 IP - 4 DP - 2011 Nov TI - Nonconvulsive status epilepticus in hepatic encephalopathy. PG - 372-4 LID - 10.5811/westjem.2011.1.2125 [doi] AB - We discuss a case of a 64-year-old male with a history of liver failure presenting with altered mental status, initially diagnosed with hepatic encephalopathy but ultimately diagnosed with nonconvulsive status epilepticus (NCSE) by electroencephalogram (EEG). NCSE is a difficult diagnosis to make, given no clear consensus on diagnostic criteria. Especially in the intensive care unit setting of persistent altered mental status with no clear etiology, NCSE must be considered in the differential diagnosis, as the consequences of delayed diagnosis and treatment can be substantial. EEG can be useful in the evaluation of patients with hepatic encephalopathy who have persistently altered levels of consciousness despite optimal medical management. FAU - Jhun, Paul AU - Jhun P AD - University of Southern California, Department of Emergency Medicine, Los Angeles, California. FAU - Kim, Hyung AU - Kim H LA - eng PT - Journal Article PL - United States TA - West J Emerg Med JT - The western journal of emergency medicine JID - 101476450 PMC - PMC3236148 COIS- Conflicts of Interest: By the WestJEM article submission agreement, all authors are required to disclose all affiliations, funding sources, and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none. EDAT- 2012/01/10 06:00 MHDA- 2012/01/10 06:01 PMCR- 2011/11/01 CRDT- 2012/01/07 06:00 PHST- 2010/10/30 00:00 [received] PHST- 2010/12/29 00:00 [revised] PHST- 2011/01/25 00:00 [accepted] PHST- 2012/01/07 06:00 [entrez] PHST- 2012/01/10 06:00 [pubmed] PHST- 2012/01/10 06:01 [medline] PHST- 2011/11/01 00:00 [pmc-release] AID - 10.5811/westjem.2011.1.2125 [doi] PST - ppublish SO - West J Emerg Med. 2011 Nov;12(4):372-4. doi: 10.5811/westjem.2011.1.2125.