CONTEXT Pancreatic encephalopathy is the occurrence of neuropsychiatric abnormalities in setting of acute pancreatitis which is not otherwise explained by presence of electrolyte abnormities, or organic lesions. The pathogenesis of pancreatic encephalopathy is incompletely understood. The clinical presentation is variable. CASE REPORT A 60 year old male, a diabetic for 5 years, was admitted w...

The onset and offset of electromyographic (EMG) silence were studied physiologically by silent period locked averaging method (SPLA) combined with a computer-assisted method for detecting EMG changes in 11 patients with asterixis of various aetiologies. The onset followed the EMG discharge which was closely associated with a sharp wave probably generated by the motor cortex in three patients. N...

Letters The latency of the anal reflex Sir: There is debate of the latency of the spinal anal reflex. Henry and Swash' originally gave a value averaging about 9 ms (range 6-9 to 1 1-5 for 10 women and 7-5 to 9 4 for three men) when recording by concentric needle electrodes, placed posterior to the midline of the anal verge, on bipolar stimulation of the perianal skin. This would give a surprisi...

INTRODUCTION Hepatic encephalopathy is challenging complication of liver dysfunction. Therapeutic treatment options for hepatic encephalopathy are currently limited and have appreciable risks and benefits associated with their use. Rifaximin is a novel anti microbiological agent with wide spectrum of activity that has shown promise as an alternative option for hepatic encephalopathy. AIMS AND...