Abstract

Thank you very much for the interesting comments of Dr Sharma et al. We agree that hepatic encephalopathy is better defined by multiple psychometric tests than single psychometric test, but still NCT-A can reliably detect minimal degrees of hepatic encephalopathy. Moreover, NCT is considered the standard in this area because of its sensitivity, ease of application, and quantitative aspect (1).We agree that minimal hepatic encephalopathy (MHE) could be a more precise terminology than sub clinical hepatic encephalopathy (SHE).