Skip to main content
Log in

Electron microscopy in human hepatic encephalopathy

  • Short Original Communications
  • Published:
Acta Neuropathologica Aims and scope Submit manuscript

Summary

Electron microscopic post mortem examination of the lenticular nuclei of two human cases who died in hepatogenic coma is reported. Lesions were found to be swelling and vacuolation of astrocytes. In addition an excess of lipofuscin and lipid like substances were present in the same cells. No changes were found in myelinated fibres, neurons and small blood vessels.

Zusammenfassung

Elektronenmikroskopische Autopsieuntersuchung des Linsenkernes von 2 menschlichen Fällen, die im Leberkoma starben. Als Veränderungen fanden sich Schwellung und Vakuolisierung der Astrocyten. Außerdem waren Lipofuscin- und Lipid-ähnliche Substanzen in den gleichen Zellen vermehrt vorhanden. An den Markfasern, Neuronen und kleinen Blutgefäßen fanden sich keine Veränderungen.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  • Adams, R. D., andJ. M. Foley: The neurological disorder associated with liver disease. Res. Publ. Ass. nerv. ment. Dis.32, 198–237 (1953).

    Google Scholar 

  • Baker, A. B.: The central nervous system in hepatic disease J. Neuropath. exp. Neurol8, 283–294 (1949).

    Google Scholar 

  • Cameron, G. R., andP. C. How: Billiary cirrhosis. Pathological monograph No. 1 Eds. SirRoy Cameron andG. P. Wright. Edinburgh: Oliver and Boyd.

  • Fawcett, D. W.: The cell its organelles and inclusions. Philadelphia-London: W. B. Sauders 1966.

    Google Scholar 

  • Gibson, J. B.: Encephalopathy after portocaval shunt. Brit. med. J.1963, 1652–1655.

  • Gonatas, N. K., R. D. Terry, andM. Weiss: Electronmicroscopic study in two cases of Jakob-Creutzfeldt disease. J. Neuropath. exp. Neurol.24, 575–598 (1965).

    Google Scholar 

  • Korenke, H. D.: Über die Leukoenzephalopatie bei Lebererkrankungen Zbl. allg. Path. path. Anat.107, 73–74 (1965).

    Google Scholar 

  • Lumsden, C. E.: The cytology and cell physiology of the neuroglia and of the connective tissue in the brain with reference to the blood — brain barrier, Proceedings, Second International Congress on Neuropathology, London. Excerpta Medica Foundation. Amsterdam, pp. 373–376 1955.

    Google Scholar 

  • Marin, O., andJ. D. Vial: Neuropathological and Ultra-structural findings in two cases of subacute spongiform encephalopathy. Acta neuropath. (Berl.)4, 218–229 (1964).

    Google Scholar 

  • Muehrcke, R. C., andS. Rosen: Hypokalemic nephropathy in rat and man. A light and electron microscopic study. Lab. Invest.13, 1359–1373 (1964).

    Google Scholar 

  • Steiner, J. W., J. S. Carruthers, andS. R. Kalifat: Disturbances of hydration of cells of rat liver in extrahepatic cholestasis. Virchows Arch. path. Anat.336, 99–114 (1962).

    Google Scholar 

  • —,M. J. Philips, andC. M. Baglio: Electron microscopy of the excretory pathways in the liver in alphanaphthyl isothiocyanate intoxication. A study of intrahepatic cholestasis. Amer. J. Path.43, 677–696 (1963).

    Google Scholar 

  • Trelles, J. O., Gastelimendi, M., Burstein, L. A., Puparelli yL. Palomino: Lesiones del sistema nervioso central en el coma hepatico. Rev. Neuro-psiquiat.25, 351–383 (1962).

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

This study was supported by CIC 80 from Universidad de Concepción.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Martinez, A. Electron microscopy in human hepatic encephalopathy. Acta Neuropathol 11, 82–86 (1968). https://doi.org/10.1007/BF00692797

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00692797

Key-Words

Navigation