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Acute Hepatic Encephalopathy hepatic encephalopathy Physiotherapy

Staging and Clinical Features of Acute Hepatic Encephalopathy

In this article we will discuss the Staging and Clinical Features of Acute Hepatic Encephalopathy

In this article, we will discuss the Staging and Clinical Features of Acute Hepatic Encephalopathy. So, let’s get started.

Stage

  • Grade 0 (subclinical or minimal)
  • Cerebral features: Only minimal change in memory, concentration and intellectual function. Unfit to drive
  • Asterixis (tremors): Absent
  • EEG: Normal
  • Grade 1 (mild)
  • Cerebral features: Confusion, mood changes, slurred speech, disordered sleep
  • Asterixis (tremors): Can be present or absent
  • EEG: Triphasic slow (5 cycles/sec waves)
  • Grade 2 (moderate)
  • Cerebral features: Lethargy, drowsy but arousable, confusion, behavioural disturbances
  • Asterixis (tremors): Present
  • EEG: Triphasic waves
  • Grade 3 (severe)
  • Cerebral features: Marked confusion, incoherent speech, sleepy but arousable
  • Asterixis (tremors): Present
  • EEG: Triphasic waves
  • Grade 4 (coma)
  • Cerebral features: Coma, initially responsive to noxious stimuli, later non-responsive
  • Asterixis (tremors): Absent
  • EEG: Delta waves

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