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They added the requirement that the person is awake and alert, as coma precludes adequate neurological assessment, and require exclusion of venous sinus thrombosis as an underlying cause

doi: 10.1016/j.phrs.2019.104554 12 TalenezhadNMohammadiMRamezani-JolfaieNMozaffari-KhosraviHSalehi-AbargoueiA

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If your risk is indeterminate or high, you may be offered further tests such as an Enhanced Liver Fibrosis (ELF) blood test or a FibroScan (transient elastography)