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November 24, 2009
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Encephalopathy (cont.)

What is the treatment for encephalopathy?

Treatment of encephalopathy varies with the primary cause of the symptoms; consequently, not all cases of encephalopathy are treated the same. The best treatments are designed by the treating physician once the patient's primary diagnosis is made. Treatments are highly variable because the causes are so different.

Examples can show how different "encephalopathy treatment" may change according to the cause:

  • Anoxia short-term (usually less than two minutes): oxygen therapy

  • Anoxia long- term: rehabilitation

  • Alcohol toxicity short- term: IV fluids or no therapy

  • Alcohol abuse over the long-term (cirrhosis or chronic liver failure): oral lactulose, low-protein diet, antibiotics

  • Uremic encephalopathy (due to kidney failure): correct the underlying physiologic cause, dialysis, kidney transplant

  • Diabetic encephalopathy: glucose to treat hypoglycemia, removal of blood glucose to treat hyperglycemia

  • Hypo- or hypertensive encephalopathy: raise (for hypotensive) or reduce (for hypertensive) blood pressure

The key to treatment of any encephalopathy is to understand the basic cause and thus design a treatment scheme to reduce or eliminate the cause(s). There is one type of encephalopathy that is difficult or impossible to treat; it is static encephalopathy (an altered mental state or brain damage that is permanent). The best that can be done with static encephalopathy is, if possible, to prevent further damage and implement rehabilitation to allow the individual to perform at their highest possible functional level.



Next: What are the complications of encephalopathy? »

Encephalopathy: Type of Encephalopathy

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