Hepatic encephalopathy--a physostigmine-reactive central anticholinergic syndrome?

@article{Kabatnik1999HepaticEP,
  title={Hepatic encephalopathy--a physostigmine-reactive central anticholinergic syndrome?},
  author={Matthias Kabatnik and M. M. G. van Heist and K. Beiderlinden and Juergen Peters},
  journal={European journal of anaesthesiology},
  year={1999},
  volume={16 2},
  pages={140-2}
}
This report describes an association between hepatic encephalopathy and central anticholinergic syndrome (CAS). A 60-year-old anaemic woman was admitted unconscious and with a delayed reaction to pain but with no focal neurological deficits. She had signs of portal hypertension and a history of non-alcoholic liver cirrhosis grade Child B. Suspecting upper gastro-intestinal bleeding, she was intubated for gastro-duodenoscopy and a fibrin-covered ulcer was revealed. Raised intra-abdominal… CONTINUE READING