Letter to the Editor
Copyright ©The Author(s) 2024.
World J Hepatol. Nov 27, 2024; 16(11): 1356-1360
Published online Nov 27, 2024. doi: 10.4254/wjh.v16.i11.1356
Table 1 Grading of hepatic encephalopathy according to West Haven criteria and international society for hepatic encephalopathy and nitrogen metabolism criteria
West Haven criteria including minimal hepatic encephalopathy
International society for hepatic encephalopathy and nitrogen metabolism
Description
MinimalCovertAbnormal results of established psychometric or neuropsychological tests without clinical manifestations
Grade IDespite oriented in time and space, the patient appears to have some cognitive/behavioral decay. Euphoria, anxiety, shortened attention span, slight mental slowing
Grade IIOvertDisoriented for time. Lethargy, apathy, inappropriate behavior. Slight personality disorders
Grade IIIDisoriented for time and space. Somnolence/semi-stupor. Responsive to stimuli. Bizarre behavior. Aggressive
Grade IVComa