title: Pancreatic encephalopathy: an unusual cause of asterixis.
abstract: BACKGROUND
  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.
  
  
  METHODS
  A 60 year old male, a diabetic for 5 years, was admitted with three days of abdominal pain associated with vomiting and complicated by altered sensorium for one day. He developed asterixis during the course of his hospital stay. Other workup was non-contributory and patient improved with supportive management.
  
  
  CONCLUSIONS
  Asterixis has not hitherto been reported in pancreatic encephalopathy.
authors: Department of Gastroenterology, PGIMER, Chandigarh, India. docvishalsharma@gmail.com.
authors: Vishal
authors: V
authors: Sharma
authors: Ravi
authors: R
authors: Sharma
authors: Surinder S
authors: SS
authors: Rana
authors: Deepak K
authors: DK
authors: Bhasin
mesh_terms: D000208:Acute Disease; D003937:Diagnosis, Differential; D020820:Dyskinesias / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000150:complications / Q000175:diagnosis*; D011860:Radiography, Abdominal; D014057:Tomography, X-Ray Computed