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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