“…It is also a leading cause of cirrhosis and liver cancer (Alter et al, 1999; Shepard, Finelli, & Alter, 2005) (Armstrong, Alter, McQuillan, & Margolis, 2000). HCV infection can be associated with cognitive dysfunction, but the association itself and the basis for the association are controversial (Abrantes, Torres, & Mello, 2013; Gaeta, Di Paolo, Fasanaro, & Loguercio, 2013; Perry, Hilsabeck, & Hassanein, 2008; Senzolo et al, 2011). Though initially attributed to hepatic encephalopathy, cognitive dysfunction has also been noted prior to onset of liver dysfunction (Forton et al, 2002) .…”