0000000000242044

AUTHOR

Juan-josé Gallego

0000-0003-4368-5284

showing 3 related works from this author

A New Score Unveils a High Prevalence of Mild Cognitive Impairment in Patients with Nonalcoholic Fatty Liver Disease

2021

Patients with nonalcoholic fatty liver disease (NAFLD) may show mild cognitive impairment (MCI). The neurological functions affected remain unclear. The aims were to: (1) Characterize the neuropsychological alterations in NAFLD patients; (2) assess the prevalence of impairment of neurological functions evaluated; (3) develop a new score for sensitive and rapid MCI detection in NAFLD; (4) assess differences in MCI features between patients with nonalcoholic fatty liver (NAFL) and nonalcoholic steatohepatitis (NASH); and (5) compare neuropsychological alterations in NAFLD patients with cirrhotic patients with MCI. Fifty-nine NAFLD patients and 53 controls performed psychometric tests assessin…

medicine.medical_specialtyCirrhosisneurological impairmentpsychometric scoreGastroenterologybehavioral disciplines and activitiesdigestive systemArticle03 medical and health sciences0302 clinical medicineInternal medicineNAFLDNonalcoholic fatty liver diseasemedicineMemory spanHepatic encephalopathyPsychomotor learningbusiness.industryFatty liverRNeuropsychologyNASHnutritional and metabolic diseasesGeneral Medicinemedicine.diseasepsychometric score; NAFLD; NAFL; NASH; neurological impairmentdigestive system diseasesNAFLMedicine030211 gastroenterology & hepatologybusiness030217 neurology & neurosurgeryStroop effectJournal of Clinical Medicine
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Patients with Minimal Hepatic Encephalopathy Show Altered Thermal Sensitivity and Autonomic Function

2021

Cirrhotic patients may experience alterations in the peripheral nervous system and in somatosensory perception. Impairment of the somatosensory system could contribute to cognitive and motor alterations characteristic of minimal hepatic encephalopathy (MHE), which affects up to 40% of cirrhotic patients. We assessed the relationship between MHE and alterations in thermal, vibration, and/or heat pain sensitivity in 58 cirrhotic patients (38 without and 20 with MHE according to Psychometric Hepatic Encephalopathy Score) and 39 controls. All participants underwent attention and coordination tests, a nerve conduction study, autonomic function testing, and evaluation of sensory thresholds (vibra…

medicine.medical_specialtylcsh:Medicineminimal hepatic encephalopathySural nerveSensory systemElectromyographythermal sensitivitySomatosensory systemArticle03 medical and health sciences0302 clinical medicineInternal medicineSensory thresholdmedicineHepatic encephalopathynerve conductionmedicine.diagnostic_testbusiness.industrylcsh:Rautonomic testingGeneral Medicinemedicine.diseaseAutonomic nervous systemNerve conduction studyCardiology030211 gastroenterology & hepatologybusinesshuman activities030217 neurology & neurosurgeryJournal of Clinical Medicine
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Motor and Cognitive Performance in Patients with Liver Cirrhosis with Minimal Hepatic Encephalopathy

2020

Minimal hepatic encephalopathy (MHE) is associated with mild cognitive impairment and frailty. This study aims to identify cognitive and motor differences in cirrhotic patients with and without MHE, and the correlations between motor signs and cognitive performance. Gait, balance, hand strength and motor speed performance were evaluated in 66 cirrhotic patients (38 without and 28 with MHE, according to the Psychometric Hepatic Encephalopathy Score (PHES). Cognitive performance was measured with the Mini-Mental State Examination, Verbal Fluency Test, Aprendizaje Verbal España-Complutense Test (TAVEC), Wechsler Adult Intelligence Scale III, Hamilton Depression and Anxiety Rating Scale and Fun…

medicine.medical_specialtyCirrosi hepàticalcsh:Medicineminimal hepatic encephalopathyAprenentatge motorAudiologyArticlecognitive assessment03 medical and health sciences0302 clinical medicineRating scaleHand strengthmedicineVerbal fluency testEffects of sleep deprivation on cognitive performanceHepatic encephalopathyminimal hepatic encephalopathy; biomechanics measurements; cognitive assessmentbiomechanics measurements cognitive assessment minimal hepatic encephalopathybusiness.industrylcsh:RWechsler Adult Intelligence ScaleCognitionGeneral Medicinemedicine.diseaseAnxiety030211 gastroenterology & hepatologymedicine.symptombusinessAprenentatge Aptitud per a l' Testshuman activities030217 neurology & neurosurgerybiomechanics measurements
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