By Eelco F.M. Wijdicks
The Comatose sufferer, moment version, is a serious historic review of the ideas of cognizance and unconsciousness, masking all points of coma inside a hundred distinctive case vignettes. This complete textual content comprises rules of neurologic exam of comatose sufferers in addition to guideline of the 4 rating coma scale, and in addition discusses landmark criminal instances and moral difficulties. because the Chair of department of severe Care Neurology at Mayo hospital, Dr. Wijdicks makes use of his vast wisdom to debate a brand new functional multistep method of the analysis of the comatose sufferer. also, this variation comprises huge assurance of the translation of neuroimaging and its position in day-by-day perform and determination making, in addition to administration within the emergency room and ICU. Dr. Wijdicks info long term supportive care and a suitable method of verbal exchange with kin approximately end-of-life selection making.
moreover, movies on neurologic exam and neurologic manifestations noticeable in comatose sufferers are available right here: http://oxfordmedicine.com/comatosepatient2e. All video recordings from the 1st variation were reformatted and remastered for optimum use, and a number of other extra videos of sufferers have additionally been incorporated.
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Extra info for The Comatose Patient
PÉRIODE DE CLOWISME DE LA GRANDE ATTAQUE HYSTÉRIQUE Contorsion. Arc de cercle. PÉRIODE DE CLOWISME DE LA GRANDE ATTAQUE HYSTÉRIQUE Variété de I'arc de cercle. PÉRIODE DE CLOWISME DE LA GRANDE ATTAQUE HYSTÉRIQUE Attitude de crucifiement. 19 Continued. Drawings of extreme postures of hysterical unresponsiveness. ” His treatment of young afflicted women (but also men) included hypnosis and most memorably the compresseur ovarien (an abdominal vise with a knob applying pressure to the ovary) and both could stop the spells.
57 They also found that the heart rate often slowed to 40 beats per minute with no change in pressure of the eyeballs, or carotid sinus, or use of intravenous atropine.
21 A History of Coma: Evolution of Ideas // 7 Cushing named it protrusion of the brainstem and actual hernia cerebelli. 53,65 Other papers more specifically described tonsillar herniation. Collier, in his article in Brain in 1904, noted that supratentorial tumors can press not only the tentorium downward but also the brainstem and cerebellum. The cerebellum was deeply indented by the edge of the foramen magnum, forming a so-called conical plug. 6 Autopsy in two cases with brain tumors showed tissue displacement, “forced to migrate,” because of the pressure effect of the tumor.
The Comatose Patient by Eelco F.M. Wijdicks