Minimal hepatic encephalopathy (MHE)—the mild cognitive impairment commonly seen in patients who have cirrhosis—has a significant impact on quality of life. Current understanding is that MHE forms part of the spectrum of hepatic encephalopathy, although this remains to be proven. This Review focuses on the pathogenesis and neuropsychological findings of MHE, the effect of MHE on quality of life and survival, and treatment options.
- Charmaine A Stewart
- Glenn E Smith