4 Senior Liver Nurse and Research Associate in the Liver Unit, Division of Diabetes, Endocrinology and Metabolism, Department of Medicine, Imperial College London, London W2 1NY.
5 Consultant Neurologist and Honorary Clinical Research Fellow in the Cognitive Neurosciences Unit, Division of Brain Sciences.
6 Professor of Translational Medicine in the Liver Unit, Division of Diabetes, Endocrinology and Metabolism, Department of Medicine, Imperial College London, London.
Hepatic encephalopathy is a complex condition. This article considers the efficacy of the methods used in its diagnosis and management and discusses the impact of minimal hepatic encephalopathy on patients and the ethics of its treatment.