| Table 2: | |||
|
West
Haven Criteria of Altered Mental Status In Hepatic Encephalopathy
|
|||
|
Stage
|
Consciousness
|
Intellect
and Behavior
|
Neurologic
Findings
|
|
0
|
Normal
|
Normal
|
Normal
examination; impaired psychomotor testing
|
|
1
|
Mild
lack of
awareness |
Shortened
attention span; impaired addition or subtraction
|
Mild
asterixis or
tremor |
|
2
|
Lethargic
|
Disoriented;
inappropriate behavior |
Obvious
asterixis;
slurred speech |
|
3
|
Somnolent
but
arousable |
Gross
disorientation;
bizarre behavior |
Muscular
rigidity and clonus; Hyperreflexia
|
|
4
|
Coma
|
Coma
|
Decerebrate
posturing
|
|
Copyright
2005 The Cleveland Clinic Foundation
|
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