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Four clinical stages have been described for hepatic encephalopathy:
 
Four clinical stages have been described for hepatic encephalopathy:
* Stage I: Mild changes in mentation
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* Stage I: Mild changes in mentation; this stage is usually missed in horses.
 
* Stage II: Depressed mental state, lethargy, behavioural changes, head pressing, ataxia and dysphagia.  
 
* Stage II: Depressed mental state, lethargy, behavioural changes, head pressing, ataxia and dysphagia.  
 
* Stage III: Somnolent but rousable. Reactions may be very reduced or exagerrated.
 
* Stage III: Somnolent but rousable. Reactions may be very reduced or exagerrated.
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