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This volume encompasses a variety of topics pertaining to patients with altered levels of consciousness, including valuable differences between disorders. Neurologists, researchers, and clinicians will find a comprehensive accounting of the distinctions between disorders that cause these altered states. Beginning with basic concepts of consciousness and neurobiology, this handbook progresses into more targeted and complex areas of discussion, including important technological advancements that have occurred in neuroimaging.
Neurologists who are frequently called upon for prognostication and to guide management of patients with these disorders will find invaluable information, including chapters discussing comatose states in children and pregnant women, encephalopathic patients, nutrition disorders, and vegetative and minimally conscious states. In addition, chapters devoted to philosophical backgrounds and ethical implications involving patients with impaired consciousness, are thoroughly presented.
Section 1: Theory and practice:
Consciousness: concepts, neurobiology, terminology of impairments, theoretical models and philosophical background. Consciousness: its neurological relevance.
Section 2: Syndromes of impaired consciousness:
Delirium in the critically ill patient. Coma and stupor. Herniation. The vegetative and minimally conscious states.
Section 3: Specific entities:
Metabolic encephalopathies. Nutritional disorders. Coma induced by intoxication. Ischemic stroke and anoxic-ischemic encephalopathy. Infectious etiologies of altered consciousness. Traumatic brain injury. Seizures and impairment of consciousness. Syncope. Altered consciousness associated with brain neoplasms. Abnormal conscious state and coma in transplant recipients. Pregnancy and coma. Psychogenic unresponsiveness and nonepileptic seizures. Coma in childhood.
Section 4: Management issues:
Management of the comatose patient. Ethical issues in the management of patients with impaired consciousness.