In hepatic encephalopathy, fluttering tremor may occur due to toxic substances such as ammonia entering the brain, causing lesions in the basal ganglia and cerebellum in the brain.
Hepatic encephalopathy is a neuropsychiatric syndrome of the central nervous system, and the main clinical manifestations include personality changes, behavioral abnormalities, fluttering tremor, and impaired consciousness. Hepatic encephalopathy is characterized by ammonia toxicity. When ammonia and other toxic substances enter the brain, they may affect the basal ganglia and cerebellum in the brain, causing the upper limbs to flutter like a bird’s wing.
Once the flutter-like tremor occurs, it indicates that the condition is more serious and requires prompt treatment. Identifying and removing the causative agent, reducing the production and absorption of ammonia-derived substances in the gut, promoting the removal of ammonia from the body, and supportive therapy for the liver are all important.
If the causative agent can be identified and promptly eliminated, it can usually be treated effectively.
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