关键词:
Hepatitis C virus
Neurological disorders
Psychiatric disorders
Antiviral therapy
Quality of life
Hepatic encephalopathy
摘要:
Hepatitis C virus(HCV)infection is widespread and affects 71 million people *** hepatic manifestations are the most frequent,ranging from chronic hepatitis to cirrhosis and hepatocellular carcinoma,it is also associated with several extrahepatic *** patients may present nonspecific neurological symptoms,regardless of the presence of liver *** pathogenetic mechanisms underlying neurological symptoms have been hypothesized:neuroinvasion,immune-mediated damage,neurotransmitter alterations and *** of the central nervous system include cerebral vasculopathy,acute or subacute encephalopathy and inflammatory *** infection may be responsible for neuropathies,of which the most frequent form is symmetrical axonal sensory or sensory-motor polyneuropathy which causes loss of leg sensitivity and *** to 50%of patients with HCV infection may experience cognitive decline and psychological disorders,such as depression and *** associated neurocognitive disorder is independent of the presence of liver cirrhosis and affects different domains than in patients with hepatic *** can be studied using specific tests that mainly explore executive functions,verbal learning and verbal *** disorders significantly reduce the quality of *** new antiviral therapies improve the extrahepatic symptoms of HCV infection and their success depends on the achievement of sustained virological ***,the effect of therapy may differ depending on the type of organ involved;neurological symptoms can be irreversible if there is organic liver *** aim of this review is to provide a critical overview of physiopathological mechanisms,diagnostic and therapeutic strategies of the neurological and psychiatric effects of HCV infection.