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Gen Hosp Psychiatry · Mar 1994
Case ReportsHepatic encephalopathy presenting as delirium and mania. The possible role of bilirubin.
- N Müller, U Klages, and W Günther.
- Psychiatric Hospital, University of Munich, Germany.
- Gen Hosp Psychiatry. 1994 Mar 1;16(2):138-40.
AbstractThe case of a woman who suffered from hepatic encephalopathy is described. The psychiatric symptoms presented first as a delirium, changing into a manic syndrome. As the neurotoxic direct fraction of bilirubin was greater than 100 times normal, increasing and decreasing in a parallel fashion with the psychiatric symptoms, direct bilirubin is assumed to play a role in the pathogenesis of this case. This is discussed in the context of bilirubin encephalopathy, very seldom diagnosed in adults.
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