Which clinical history findings are characteristic of triphasic wave encephalopathy (TWE)?

Updated: Sep 24, 2018
  • Author: Kalyani Korabathina, MD; Chief Editor: Tarakad S Ramachandran, MBBS, MBA, MPH, FAAN, FACP, FAHA, FRCP, FRCPC, FRS, LRCP, MRCP, MRCS  more...
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See the list below:

  • TWE can present in numerous ways, depending on the underlying etiology.

  • Patients with known hepatic dysfunction may present with either an abrupt or slow decline in cognitive function.

  • Renal failure generally is associated with a more abrupt decompensation.

  • Patients who are comatose with postanoxic injuries may demonstrate TWs in the first few days following the insult.

  • TWs also have been seen in patients with alpha coma.

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