Abstract
Hepatic encephalopathy (HE) is recognized as a neuropsychiatric disorder resulting from complications of liver failure. In cirrhotic patients, the prevalence of HE is 30-45% and it is estimated that the survival of these patients is only 42%. The muscle depletion in cirrhotic individuals reaches 65-90% of these patients and is directly related to the development of HE, the hyperammonaemia…