Hepatic encephalopathy with epilepsia partialis continua: A case report

Confusion is a common presentation to acute medical services; often in the setting ofmetabolic disturbance, such as alcoholic liver disease. Seizure activity should always be considered as a potentially reversible cause, and must be differentiated from encephalopathy. This case also demonstrates that both focal and generalised seizure activity can result from a metabolic cause without a focal lesion.