Hepatic encephalopathy: Difference between revisions

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Latest revision as of 13:42, 9 March 2025

Grade 0: no encephalopathy
- Normal consciousness, personality, neurological examination, and electroencephalogram
Grade 1: changes in behaviour with minimal change in level of consciousness
- Restless, sleep disturbed, irritable/agitated, tremor, impaired handwriting, 5 cps waves on EEG
Grade 2: gross disorientation, drowsiness, possibly asterixis, inappropriate behaviour
- Lethargic, time-disoriented, inappropriate, asterixis, ataxia, slow triphasic waves on EEG
Grade 3: marked confusion, incoherent speech, sleeping most of the time but arousable to vocal stimulus
- Somnolent, stuporous, place-disoriented, hyperactive reflexes, rigidity, slower waves on EEG
Grade 4: comatose, unresponsive to pain, decorticate or decerebrate posturing
- Unrousable coma, no personality/behvaiour, decerebrate, slow 2-3 cps delta activity on EEG

@@ Line 4: / Line 4: @@
 ** Normal consciousness, personality, neurological examination, and electroencephalogram
 * '''Grade 1:''' changes in behaviour with minimal change in level of consciousness
-** Restless, sleep disturbed, irritable/agitated, termor, impaired handwriting, 5 cps waves on EEG
+** Restless, sleep disturbed, irritable/agitated, tremor, impaired handwriting, 5 cps waves on EEG
 * '''Grade 2:''' gross disorientation, drowsiness, possibly asterixis, inappropriate behaviour
 ** Lethargic, time-disoriented, inappropriate, asterixis, ataxia, slow triphasic waves on EEG