Assessment Of Coma And Impaired Consciousness Pdf
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WEIR, A. The GCS verbal component may be misleading in acute stroke: a focal neurological deficit leading to dysphasia could affect the score, independently of level of consciousness.
- Assessment of coma and impaired consciousness. A practical scale.
- Assessment of level of consciousness following severe neurological insult
- Assessment of coma and impaired consciousness. A practical scale
Coma scales: a historical review.
Assessment of coma and impaired consciousness. A practical scale.
Skip to search form Skip to main content You are currently offline. Some features of the site may not work correctly. DOI: A practical scale. Teasdale and B. Teasdale , B. Jennett Published Medicine Lancet.
Practical Handbook of Neurosurgery pp Cite as. Since they were described, the Glasgow Coma Scale [ 6 ] and Outcome Scale [ 1 ] have gained wide acceptance and are now in use throughout the world. Nevertheless, such commonplace use can engender a feeling of familiarity that can lead to them being used less effectively than ideal. Usually this is the result of some of the factors that were crucial in their development, and remain important in their day to day application, being overlooked. It is therefore appropriate to re-visit some of the features that are the basis of reliable, robust use of the scales and in the interpretation of their findings. Unable to display preview.
Assessment of level of consciousness following severe neurological insult
The merits of the Comprehensive Level of Consciousness Scale as a research tool are presented. An analysis of consecutive consciousness-impaired patients with their short-term outcome is presented. Trans Am Neurol Assoc 25—29, Fisher CM : The neurological examination of the comatose patient. Acta Neurol Scand 45 Suppl 36 : 5—56, New York: McGraw-Hill, , p Lancet 1: —,
Coma is unresponsiveness from which the patient cannot be aroused and in which the patient's eyes remain closed. Impaired consciousness refers to similar, less severe disturbances of consciousness; these disturbances are not considered coma. The mechanism for coma or impaired consciousness involves dysfunction of both cerebral hemispheres or of the reticular activating system also known as the ascending arousal system. Causes may be structural or nonstructural eg, toxic or metabolic disturbances. Damage may be focal or diffuse. Diagnosis is clinical; identification of cause requires laboratory tests and neuroimaging.
Assessment of coma and impaired consciousness. A practical scale
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