From:  Minimal hepatic encephalopathy: a hidden threat to quality of life in cirrhosis patients

 Clinical presentation of MHE vs. OHE [1719]

Clinical presentationMHEOHE
SymptomsSubtle (attention deficits, slow processing)Severe (confusion, asterixis, coma)
DiagnosisRequires specialized tests (PHES, EEG)Clinical signs + blood ammonia levels
ImpactReduced quality of life, driving risksHigh mortality, hospitalization needs

MHE: minimal hepatic encephalopathy; OHE: overt hepatic encephalopathy; PHES: psychometric hepatic encephalopathy score; EEG: electroencephalography