up button arrow

Toxic-metabolic Encephalopathy in Flemingsburg

There are different types of illness. Consequently, its causes vary depending on the type of encephalopathy one has.

Types of Toxic Metabolic Encephalopathy

Some of the following are reversible and some are not.

  • Chronic traumatic (CTE) is brain degradation. It usually develops after repeated head injuries. It is not yet fully understood and discovered. However, it is often found in people who play close contact sports.

  • Glycine - an inherited metabolic problem where one’s glycine levels are very high. It is diagnosed through testing of glycine level, enzyme deficiency, and genetics.

  • Hashimoto's - It is connected with a condition called Hashimoto's disease. The cause is unknown. However, it is assumed that your own immune system attacks your brain and changes the way it works.

  • Hepatic - occurs when your liver fails to remove toxins from your blood. They concentrate on your body and disrupt the natural way it operates. Chronic liver issues or some forms of overdose can cause this.

  • Hypertensive - happens due to very high blood pressure that creates dysfunction in your brain. Headaches, throwing up, and balance trouble are common symptoms.

  • Hypoxic-ischemic - occurs when the brain is deprived of the sufficient amount of oxygen it needs. Overdose, cardiac arrest, near-drowning can be underlying causes.

  • Uremic - occurs among patients with renal failure. As a result, the rate of glomerular filtration falls below 15mL/min.

  • Wernicke - a neurological disorder as a consequence of vitamin B1 deficiency.

  • Toxic-metabolic encephalopathy (TME) is also called delirium. It happens when toxic cells in your body prevent the healthy breakdown of substances. This leads to inflammation of brain cells. It results in an alteration in motor and cognitive abilities.

Delirium is an acquired brain injury that can be debilitating for many. Its consequences are felt more severely as people age.


Many factors cause TME:

  • Infections
  • Dehydration
  • Malnutrition
  • Alcohol toxicity
  • liver/kidney problem
  • Metabolic imbalances
  • Reduced oxygen to the brain

Any pre-existing condition might increase the probability of the disease. The symptoms of delirium are caused by underlying issues. Thus, if doctors diagnose you with TME, they should treat your pre-existing conditions first.
If you think you might have it, you should see a doctor immediately.

How Is The Disease Diagnosed?

As a rule, doctors ask you about your medical history and symptoms. They will check for neurological and psychological symptoms.

If they suspect the presence of the infection, additional tests may include:

  • Blood tests
  • Spinal tap
  • CT or MRI scan
  • Measuring the electrical activity of your brain

TME does not have a cure. Rather the physicians treat the underlying causes that lead to it. This may help ease the symptoms.

In general, doctors usually recommend those diagnosed with TME stay at a rehabilitation center. At these hospitals, they help you with improving your cognitive and physical abilities. Physical therapies help you keep balance and build up strength. As falling is a risk during this illness, physicians also teach you strategies of completing daily activities more safely.

The rehabilitation center not only focuses on your physical but also mental well-being. Neuropsychologists, speech-language pathologists, and occupational therapists all work with you. They teach you compensatory strategies and help you improve your cognitive skills.

Is Encephalopathy Preventable?

Some forms of the issue, the genetic ones are not preventable. When it comes to the other types, you can reduce the risk of getting them. Your focus, in this case, should be to avoid developing any of the underlying causes of encephalopathy. Here is a list to help you reduce the risk of developing the disease.

  • Not taking in too much alcohol
  • Avoiding drugs
  • Eating healthy
  • Checking in with a physician regularly.
  • Mental exercises to keep your mind active

Long-term effects

Depending on the severity and the type of the illness, consequences will differ. Some are reversible and treatable. Whatever the case is, the healthcare professionals will determine your treatment accordingly.