altered mental status secondary to their acute disease processes or as a consequence of the therapies used to treat disease. These mental status changes range from coma to hyperactive delirium. A comatose patient is unresponsive to physical or verbal stimuli, whereas delirium is an acute and fluctuating disorder of consciousness characterized by inattention, disorganized thinking, and perceptua...

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 ...