Encephalopathy literally means
disease of the
brain. In medical jargon it can refer to a wide variety of disorders with very different etiologies, prognoses and implications. For example,
anoxic encephalopathy commonly refers to permanent brain damage with often severe impairment of consciousness and mental abilities caused by cessation of oxygen delivery to the brain. In contrast, toxic-metabolic encephalopathy, which has protean causes, is generally completely reversible given reversal of the underlying toxic (infectious) or metabolic insult. Because the word encephalopathy is used in so many contexts, it has no direct synonyms. Contrast to
dementia which refers to a permanent reduction in mental abilities from a previously higher level (c.f. mental retardation), always in the absence of acute illness or alteration of consciousness. Also contrast to
delirium which refers to an acute confusional state, frequently, but not always, in the setting of acute illness. Because toxic-metabolic encephalopathy is frequently a confusional state in the setting of illness, and delirium is a confusional state, often, but not always, in the setting of illness, the two intergrade seamlessly into each other.
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