Pancreatic encephalopathy syndrome
Introduction
Introduction to pancreatic encephalopathy syndrome Pancreatic encephalopathy syndrome, also known as pancreatic encephalopathy, refers to acute or recurrent chronic pancreatitis with encephalopathy. The diseased pancreatic tissue releases toxic substances and the direct action of trypsin on the brain, as well as cerebral ischemia caused by shock, proteinemia and other brain damage. basic knowledge The proportion of illness: 0.0005%--0.001% Susceptible people: no special people Mode of infection: non-infectious Complications: ataxia, shock, peritonitis, sudden death
Cause
The cause of pancreatic encephalopathy syndrome
Causes:
The diseased pancreatic tissue releases toxic substances and the direct action of pancreatic enzyme on the brain, as well as cerebral ischemia caused by shock, and azotemia and other brain damage.
Prevention
Pancreatic encephalopathy syndrome prevention
Active treatment of pancreatitis is the key to the prevention and treatment of this disease. Pay attention to rest, diet light and easy to digest, low-fat diet, eat less meals, such as thin powder, rice soup, tomato soup, egg soup, slag mung bean soup, vegetable juice, thin noodle soup, pork liver soup, soy milk. Avoid greasy foods and high animal fat foods.
Complication
Complications of pancreatic encephalopathy syndrome Complications, ataxia, shock, peritonitis, sudden death
1. Can appear in cranial nerve palsy, increased muscle tone, hyperreflexia, pathological reflex and ataxia.
2. Acute pancreatitis, necrotic hemorrhagic type is critically ill, and shock occurs soon, peritonitis, and some patients have sudden death.
Symptom
Symptoms of pancreatic encephalopathy syndrome Common symptoms Nausea sputum reflexes abdominal pain Urinary amylase increased fever Ataxia Diabetes Cranial nerve palsy illusion tremor
1. Symptoms of acute pancreatitis: clinical manifestations of sudden onset of acute upper abdominal pain, radiation to the back, nausea, vomiting, fever, lower blood pressure, blood, urine amylase elevation.
2. Chronic pancreatitis symptoms: clinically often accompanied by biliary system disorders, patients with upper abdominal pain, fatty diarrhea, and sometimes complicated by diabetes.
3. More than 2 weeks after the onset of pancreatitis, encephalitis-like neuropsychiatric symptoms are mainly manifested as:
1 psychiatric symptoms: expression of anxiety, irritability and other state of excitement, followed by hallucinations, disorientation, paralysis or coma, mental symptoms with the improvement of pancreatitis;
2 neurological symptoms: manifested as convulsions, tremors, aphasia, etc., and can occur in cranial nerve palsy, increased muscle tone, hyperreflexia, pathological reflexes and ataxia.
Examine
Examination of pancreatic encephalopathy syndrome
1. The cerebrospinal fluid is completely normal or only the number of cells and protein are slightly increased.
2. EEG normal or diffuse abnormalities.
3. If the primary disease is acute pancreatitis, accompanied by blood, elevated urinary amylase.
Diagnosis
Diagnosis and diagnosis of pancreatic encephalopathy syndrome
It is not difficult to diagnose patients with central nervous system symptoms in patients with pancreatitis.
Need to be differentiated from other intracranial infectious diseases such as tuberculous meningitis and sporadic encephalitis.
