About Asterixis
Key Highlights
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Non-Invasive Diagnostic Sign: A simple, quick, and painless part of a neurological exam performed at the bedside.Crucial Diagnostic Clue: Serves as a key indicator of underlying metabolic disturbances, often before other severe symptoms appear.Guides Treatment: Its presence directly informs the urgency and direction of further diagnostic testing and treatment for conditions like liver or kidney failure.listrongMonitors Progress:/strong The resolution or persistence of asterixis can help monitor the effectiveness of treatment for the underlying condition./li/ul
Who is this surgery for?
- Evaluation of patients with suspected metabolic encephalopathy (e.g., confusion, altered mental status).
- Suspected hepatic encephalopathy due to acute or chronic liver failure.
- Suspected uremic encephalopathy in patients with severe kidney disease or failure.
- Assessment in cases of respiratory failure with carbon dioxide retention (hypercapnia).
- Monitoring patients with severe electrolyte imbalances, heart failure, or certain drug toxicities (e.g., anticonvulsants).
How to prepare
- No specific physical preparation is required from the patient for this part of the examination.
- The patient should be informed that the neurologist will ask them to hold their arms and hands in a specific position.
- It is helpful if the patient can describe any symptoms they are experiencing, such as confusion, fatigue, or tremors.
- Providing a complete medical history and list of current medications is essential for accurate interpretation.
Risks & possible complications
- No direct risks are associated with the assessment of asterixis itself, as it is an observational test.
- The primary risks are related to the underlying condition causing the asterixis (e.g., progression of liver failure, kidney failure).
- Misinterpretation or missing the sign could delay diagnosis and treatment of a serious systemic illness.
- Patient fatigue or inability to maintain the required posture may sometimes make the sign difficult to elicit.
Recovery & hospital stay
- There is no recovery process from the assessment of asterixis, as it is not a therapeutic procedure.
- Recovery and post-care are entirely focused on treating the underlying medical condition identified (e.g., managing liver disease, dialysis for kidney failure).
- As the underlying condition is treated and metabolic parameters normalize, the asterixis typically resolves.
- Follow-up neurological exams may be performed to monitor the resolution of asterixis as a sign of treatment efficacy.
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Typical hospital stay: Not applicable (diagnostic sign)
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Expected recovery time: Not applicable (diagnostic sign)
Frequently Asked Questions
If you are considering asterixis in India, these questions and answers can help you make a confident, informed decision.
Popular choices for asterixis in India include KMC Hospital Mangalore, Manipal Hospital Gurgaon, Manipal Hospital Jayanagar, Manipal Hospital Kharadi, Manipal Hospital Malleshwaram, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform asterixis. MediFyr helps you compare neurologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for asterixis compare across other countries where we have data.
Top hospitals for Asterixis in India
These partner hospitals in India have dedicated neurology teams and experience managing patients undergoing asterixis.
Sarah Bhatia, a 58-year-old retired school...
Sarah Bhatia, a 58-year-old retired school principal, had been managing her cirrhosis for five years. Recently, her husband noticed she was becoming increasingly forgetful and her hands would make a strange, involuntary 'flapping' motion when she tried to hold her arms out. She felt a growing sense of dread and confusion, fearing her mind was failing. During her neurology appointment, Dr. Sharma asked her to extend her arms and wrists. He observed the characteristic brief lapses in muscle tone, the asterixis. He gently explained this was not a primary brain issue but a sign of hepatic encephalopathy, a complication of her liver disease. The procedure itself was just an observation; the emotional weight was in the diagnosis. The treatment involved adjusting her medications and diet. Within a week, the flapping motions subsided and her mental clarity improved. Sarah moved from fear and confusion to profound relief and a renewed focus on managing her liver health, feeling back in control.
Neurologists for Asterixis
Explore experienced neurologists who regularly perform asterixis and provide pre- and post-operative care in India.
- 18 Years Experience
- Neurologist
Miot Hospital Chennai, Chennai
- 46 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 25 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 13 Years Experience
- Neurologist
SIMS Hospital Vadapalani, Chennai
- 13 Years Experience
- Neurologist
SIMS Hospital Vadapalani, Chennai
- 19 Years Experience
- Neurologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 26 Years Experience
- Neurologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 8 Years Experience
- Neurologist
Kamineni Hospital, Tadigadapa, vijayawada
- 9 Years Experience
- Neurologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 5 Years Experience
- Neurologist
Kamineni Hospital, Tadigadapa, vijayawada
- 3 Years Experience
- Neurologist
Kamineni Hospital LB Nagar, Hyderabad
- 32 Years Experience
- Neurologist
Kamineni Hospital LB Nagar, Hyderabad
- 11 Years Experience
- Neurologist
Manipal Hospital Gurgaon, Gurgaon
- 7 Years Experience
- Neurologist
Kamineni Hospital LB Nagar, Hyderabad
- 8 Years Experience
- Neurologist
Manipal Hospital Ghaziabad, Ghaziabad
- 32 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 19 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 14 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 13 Years Experience
- Neurologist
Metro Hospital, Sector 11, Noida