الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 157 |  |  |
| | | from | 157 | | |
Abstract
Sleep disturbances are common among cirrhotic patients and have deleterious effects on their health related quality of life (Cordoba et al., 1998) (Mostacci et al., 2008). Reversal of sleep rhythm is recognized as one of the early signs of HE (Mostacci et al., 2008). There are limited studies assessing the relation between sleep disturbance and the level of neuropsychiatric impairment in cirrhotic patients with no history of OHE. This study was conducted to assess the relation between degree and quality of sleep disturbance and the level of neuropsychiatric impairment, due to presence of MHE, in cirrhotic patients with no history of OHE. This case-control study was carried out in Tropical Medicine Department, Zagazig University Hospitals, during the period from November 2017 to July 2018.The study comprised 80 cirrhotic patients without OHE who were admitted to Tropical Medicine Department, Zagazig University Hospitals, during this period. They were classified, according to the results of PHES into two groups