Japanese Classification of Hepatic Encephalopathy in Pediatric Patients

At the 5th Workshop on Pediatric Liver Disease in Japan criteria for grading hepatic encephalopathy in pediatric patients were listed.

Patient selection: pediatric patient with hepatic encephalopathy

Infant	Child or Adolescent	Grade
does not laugh aloud	lower spirits than usual, seems lethargic	I
does not laugh at all, even when being played with; (if more than 3 months old) cannot maintain eye contact with mother	obedient attitude, somnolent, disoriented to place or time	II
decreased level of consciousness, opens eyes in response to loud voice	decreased level of consciousness, opens eyes in response to loud voice	III
does not wake up in response to painful stimuli; frowns and/or brushes off stimulus with hands	does not wake up in response to painful stimuli; frowns and/or brushes off stimulus with hands	IV
coma with no response to painful stimuli	come with no response to painful stimula	V

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