An autopsy case of liver cirrhosis with hepatic encephalopathy and intracranial bleeding

Bloody cerebrospinal fluid indicated that the neuropsychiatric abnormalities observed in a cirrhotic patient with a chronic type of hepatic encephalopathy were due to intracranial vascular lesions. Autopsy findings revealed hemorrhagic infarction at the left frontal pole and subarachinoideal bleeding at the occipital lobe. It is particularly important to realize that abnormal mental states occurring in patients with cirrhosis of the liver may be due to many other conditions leading to coma.