Клінічні стадії портосистемної енцефалопатії

Stage

Cognition and Behavior

Neuromuscular Function

0 (subclinical)

Asymptomatic loss of cognitive abilities

None

1

Sleep disturbances

Impaired concentration

Depression, anxiety, or irritability

Monotone voice

Tremor

Poor handwriting

Constructional apraxia

2

Drowsiness

Disorientation

Poor short-term memory

Disinhibited behavior

Ataxia

Dysarthria

Asterixis

Automatisms (eg, yawning, blinking, sucking)

3

Somnolence

Confusion

Amnesia

Anger, paranoia, or other bizarre behavior

Nystagmus

Muscular rigidity

Hyperreflexia or hyporeflexia

4

Coma

Dilated pupils

Oculocephalic or oculovestibular reflexes

Decerebrate posturing