Minimal Hepatic Encephalopathy in Cirrhotic Patients and Its Association with Traffic Violations

Hepatic encephalopathy (HE) is a known complication of cirrhosis, and it is associated with substantial morbidity and mortality. The lesser end of the spectrum of this disease is minimal HE (MHE), which is a neuropsychological entity that is characterized by delayed reaction time and abnormal response inhibition. In recent studies, investigators have demonstrated that cirrhotic patients with MHE perform poorly during driving tests. These findings suggest that patients with MHE who drive increase risk not only to themselves but also to others on the road, although little data is available about actual traffic violations (TVs) or motor vehicle accidents (MVAs) among MHE patients. Now, researchers investigated whether patients with MHE had hig…