Learn about Asterixis Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Asterixis and request assistance for cost estimates or appointments.

About Asterixis

Asterixis, often called a 'flapping tremor,' is not a medical procedure but a clinical sign assessed by a neurologist during a physical examination. It is characterized by brief, involuntary lapses in sustained muscle tone, causing a distinctive flapping motion of the hands when the wrists are extended. This finding is a crucial diagnostic indicator of metabolic encephalopathy, most commonly associated with liver failure (hepatic encephalopathy), kidney failure, or respiratory failure. The neurologist evaluates asterixis by asking the patient to extend their arms and dorsiflex their wrists, observing for the characteristic sudden downward jerks. Identifying asterixis is vital as it points to underlying, often serious, systemic conditions requiring immediate medical intervention and management of the root cause.

Key Highlights

    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.
  • checked Typical hospital stay: Not applicable (diagnostic sign)
  • checked 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.

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.

Country Estimated cost range Typical stay Recovery time View details
India INR 0 – 0 Not applicable (diagnostic sign) ~ Not applicable (diagnostic sign) Know More
Turkey TRY 0 – 0 Not applicable (diagnostic sign) ~ Not applicable (diagnostic sign) Know More

Top hospitals for Asterixis in India

These partner hospitals in India have dedicated neurology teams and experience managing patients undergoing asterixis.

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432+ Rating

Manipal Hospital Gurgaon

  • IconGurgaon, India
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2478+ Rating

Manipal Hospital Jayanagar

  • IconBangalore, India
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1610+ Rating

Manipal Hospital Varthur Road

  • IconBangalore, India
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91+ Rating

Manipal Hospital Malleshwaram

  • IconBangalore, India
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6016+ Rating

Manipal Hospital Mysore

  • IconMysore, India
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1837+ Rating

Manipal Hospital Salem

  • IconSalem, India
  • Icon18 Doctors
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847+ Rating

Manipal Hospital Sarjapur Road

  • IconBangalore, India
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180+ Rating

Manipal Hospital Vijayawada

  • Iconvijayawada, India
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2882+ Rating

Manipal Hospital Whitefield

  • IconBangalore, India
  • Icon105 Doctors
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534+ Rating

Manipal Hospital Yeshwanthpur

  • IconBangalore, India
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5990+ Rating

Manipal Hospital Rangapani

  • IconSiliguri, India
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5734+ Rating

Manipal Hospital Siliguri

  • IconSiliguri, India
  • Icon30 Doctors
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279+ Rating

Manipal Hospital Jaipur

  • IconJaipur, India
  • Icon55 Doctors
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98+ Rating

Manipal Hospital Doddaballapur

  • IconBangalore, India
  • Icon30 Doctors
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65+ Rating

Manipal Hospital Salt Lake

  • IconKolkata, India
  • Icon129 Doctors
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135+ Rating

Manipal Hospital Goa

  • IconPanaji, India
  • Icon79 Doctors
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12320+ Rating

Manipal Hospital Kanakapura Road

  • IconBangalore, India
  • Icon78 Doctors
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185+ Rating

Manipal Hospital Ranchi

  • IconRanchi, India
  • Icon41 Doctors
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872+ Rating

Manipal Hospital Millers Road

  • IconBangalore, India
  • Icon89 Doctors
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1161+ Rating

Artemis Hospital Gurgaon

  • IconGurgaon, India
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694+ Rating

Manipal Hospital Kharadi

  • IconPune, India
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156+ Rating

Manipal Hospital Patiala

  • IconPatiala, India
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181+ Rating

KMC Hospital Mangalore

  • IconMangalore, India
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PATIENT REVIEW

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.

Dr. Bindu Thankappan
  • 18 Years Experience
  • Neurologist
Speaks: English, Tamil, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai, Chennai

OPD-desk synced • Updated
Dr. AK Roy
  • 46 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Uday Murgod
  • 25 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Vivek Iyer
  • 13 Years Experience
  • Neurologist
Speaks: English, Hindi, Tamil
Consult Charge ₹ 500

MediFyr Plus SIMS Hospital Vadapalani, Chennai

OPD-desk synced • Updated
Dr. Rithesh R Nair
  • 13 Years Experience
  • Neurologist
Speaks: English, Hindi, Tamil
Consult Charge ₹ 500

MediFyr Plus SIMS Hospital Vadapalani, Chennai

OPD-desk synced • Updated
Dr. Pradyut Ranjan Bhuyan
  • 19 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Bhubaneswar, Bhubaneshwar

OPD-desk synced • Updated
Dr. Laxmidhar Parhi
  • 26 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1250
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Bhubaneswar, Bhubaneshwar

OPD-desk synced • Updated
Dr. LAKSHMI PRIYA INAPAKOLLA
  • 8 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Kamineni Hospital, Tadigadapa, vijayawada

OPD-desk synced • Updated
Dr. Aakash Agrawal
  • 9 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Bhubaneswar, Bhubaneshwar

OPD-desk synced • Updated
Dr. KRISHNAVENI VANAPALA
  • 5 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Kamineni Hospital, Tadigadapa, vijayawada

OPD-desk synced • Updated
Dr. NAREDDY SANDEEP REDDY
  • 3 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Kamineni Hospital LB Nagar, Hyderabad

OPD-desk synced • Updated
Dr. KAMLESH M CHAWDA
  • 32 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Kamineni Hospital LB Nagar, Hyderabad

OPD-desk synced • Updated
Dr. Apurva Nagesh Sharma
  • 11 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1200
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Gurgaon, Gurgaon

OPD-desk synced • Updated
Dr. DR M. LAKSHMI LAVANYA
  • 7 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Kamineni Hospital LB Nagar, Hyderabad

OPD-desk synced • Updated
Dr. Shishir Pandey
  • 8 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Ghaziabad, Ghaziabad

OPD-desk synced • Updated
Dr. Jay Dip Ray Chaudhuri
  • 32 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Pramod Krishnan
  • 19 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Manjunath Mahadevappa
  • 15 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Veena Vedartham
  • 14 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Neeraj Kumar
  • 13 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

Metro Hospital, Sector 11, Noida

OPD-desk synced • Updated