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{
    "pk": 18113,
    "title": "Nonconvulsive Status Epilepticus in Hepatic Encephalopathy",
    "subtitle": null,
    "abstract": "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. [West J Emerg Med. 2011;12(4):372–374.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "nonconvulsive status epilepticus"
        },
        {
            "word": "hepatic encephalopathy"
        },
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "Hepatology"
        },
        {
            "word": "Neurology"
        }
    ],
    "section": "Clinical Practice",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/2pn6f87n",
    "frozenauthors": [
        {
            "first_name": "Paul",
            "middle_name": "",
            "last_name": "Jhun",
            "name_suffix": "",
            "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California",
            "department": "None"
        },
        {
            "first_name": "Hyung",
            "middle_name": "",
            "last_name": "Kim",
            "name_suffix": "",
            "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California",
            "department": "None"
        }
    ],
    "date_submitted": "2010-10-30T07:00:00Z",
    "date_accepted": "2010-10-30T07:00:00Z",
    "date_published": "2011-05-27T07:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/18113/galley/9234/download/"
        }
    ]
}