You may have hepatic encephalopathy he a disorder caused by a buildup of toxins in the brain that can happen with advanced liver disease it affects a lot of things like your behavior mood . Hepatic encephalopathy is a serious complication of severe liver disease the disease is often fluctuating with a wide spectrum of symptoms ranging from minor not readily discernible signs to deep coma. Encephalopathy is a term that refers to brain dysfunction for which there are many causes hepatic encephalopathy he occurs when the liver stops working properly or when blood from the gut bypasses the liver in what is known as portosystemic shunting he can manifest as a spectrum of neurological and psychiatric abnormalities. Hepatic encephalopathy is a complication of liver disease that occurs when blood flow bypasses the liver called portal hypertension and enters into the rest of the circulation this unfiltered blood carries toxins that enter the brain and affects normal function. Hepatic encephalopathy he develops in liver disorders associated with portosystemic shunting fulminant hepatic failure or cirrhosis acquired portosystemic shunts reduced functional hepatic mass intrahepatic shunting of blood around regenerative nodules
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