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Adams and Victor's Principles of Neurology, 9e Chapter 17. Coma and Related Disorders of Consciousness Sections: Coma and Related Disorders of Consciousness: Introduction, States of Normal and Impaired Consciousness, The Persistent Vegetative and Minimally Conscious States, Locked-in Syndrome, and Akinetic Mutism, Brain Death, The Electroencephalogram and Disturbances of Consciousness, The Anatomy and Neurophysiology of Alertness and Coma, Metabolic Mechanisms that Disturb Consciousness, Recurring Stupor and Coma, Pathologic Anatomy of Coma, Pathoanatomy of Brain Displacement and Herniations, Clinical Approach to the Comatose Patient, General Examination, Neurologic Examination of the Stuporous or Comatose Patient, Laboratory Procedures for Coma Diagnosis, Classification of Coma and Differential Diagnosis, Management of the Acutely Comatose Patient, Prognosis of Coma, References. Topics Discussed: coma; consciousness disorders.
Excerpt:
"In hospital and emergency neurology, the clinical analysis of
unresponsive and comatose patients becomes a practical necessity.
There is always urgency about such medical problemsa need
to determine the underlying disease and the direction in which it
is evolving in order to protect the brain against more serious or
irreversible damage. When called upon, the physician must therefore
be prepared to implement a rapid, systematic investigation of the
comatose patient and prompt therapeutic and diagnostic action that
allows no time for deliberate, leisurely investigation...."
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