This case report describes a 73 year old lady with a known Hereditary Haemorrhagic Encephalopathy (HHT) who presented with confusion. She had several previous self-limiting episodes over 3 months. She had known hepatic arterio-venous (AV) malformations. A urinary tract infection was detected and thought to be the cause of her confusion. However despite targeted antibiotic treatment her neurological state worsened (GCS 10/15) and she developed hepatic asterixis. Hepatic encephalopathy was confirmed with diagnostic EEG and elevated ammonia 211umol/l (
Tinkler, M., Lyons, E., & Henderson, E. (2012). An Unusual Cause of Confusion: Hepatic Encephalopathy in Hereditary Haemorrhagic Telangectasia. European Journal of General Medicine, 9(4), 277-279.
AMA
Tinkler M, Lyons E, Henderson E. An Unusual Cause of Confusion: Hepatic Encephalopathy in Hereditary Haemorrhagic Telangectasia. European Journal of General Medicine. Aralık 2012;9(4):277-279.
Chicago
Tinkler, Marianne, Eleanore Lyons, ve Emily Henderson. “An Unusual Cause of Confusion: Hepatic Encephalopathy in Hereditary Haemorrhagic Telangectasia”. European Journal of General Medicine 9, sy. 4 (Aralık 2012): 277-79.
EndNote
Tinkler M, Lyons E, Henderson E (01 Aralık 2012) An Unusual Cause of Confusion: Hepatic Encephalopathy in Hereditary Haemorrhagic Telangectasia. European Journal of General Medicine 9 4 277–279.
IEEE
M. Tinkler, E. Lyons, ve E. Henderson, “An Unusual Cause of Confusion: Hepatic Encephalopathy in Hereditary Haemorrhagic Telangectasia”., European Journal of General Medicine, c. 9, sy. 4, ss. 277–279, 2012.
ISNAD
Tinkler, Marianne vd. “An Unusual Cause of Confusion: Hepatic Encephalopathy in Hereditary Haemorrhagic Telangectasia”. European Journal of General Medicine 9/4 (Aralık 2012), 277-279.
JAMA
Tinkler M, Lyons E, Henderson E. An Unusual Cause of Confusion: Hepatic Encephalopathy in Hereditary Haemorrhagic Telangectasia. European Journal of General Medicine. 2012;9:277–279.
MLA
Tinkler, Marianne vd. “An Unusual Cause of Confusion: Hepatic Encephalopathy in Hereditary Haemorrhagic Telangectasia”. European Journal of General Medicine, c. 9, sy. 4, 2012, ss. 277-9.
Vancouver
Tinkler M, Lyons E, Henderson E. An Unusual Cause of Confusion: Hepatic Encephalopathy in Hereditary Haemorrhagic Telangectasia. European Journal of General Medicine. 2012;9(4):277-9.