Skip to main content Accessibility help
×
Home
Hostname: page-component-99c86f546-5rzhg Total loading time: 0.731 Render date: 2021-12-06T21:54:17.452Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "metricsAbstractViews": false, "figures": true, "newCiteModal": false, "newCitedByModal": true, "newEcommerce": true, "newUsageEvents": true }

Chapter 5 - Coma, delirium and other disorders of consciousness

Published online by Cambridge University Press:  07 October 2011

S. Andrew Josephson
Affiliation:
University of California, San Francisco
W. David Freeman
Affiliation:
Mayo Clinic
David J. Likosky
Affiliation:
Evergreen Hospital Medical Center, Kirkland, WA
Get access

Summary

Disorders of consciousness range from deep coma in a patient with a mass lesion to delirium in a hospitalized elderly patient. Neurohospitalists are often asked to determine the etiology of the patient's altered state and to provide prognostic information and treatment recommendations. This review addresses the common syndromes associated with consciousness disorders, including coma, vegetative and minimally conscious states and syncope. A comatose patient, by definition, has eyes closed with no response to voice or pain and no comprehensible speech or awareness of self and surroundings. Patients typically evolve into a chronic disorder of consciousness, often initially a vegetative state and then potentially into a minimally conscious state. Syncope is a rapid-onset and self-limited loss of consciousness which is typically accompanied by loss of postural tone. Transient global amnesia (TGA) is a clinically defined condition with abrupt onset of anterograde and variable retrograde amnesia lasting up to 24 hours.
Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Send book to Kindle

To send this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle.

Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Send book to Dropbox

To send content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about sending content to Dropbox.

Available formats
×

Send book to Google Drive

To send content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about sending content to Google Drive.

Available formats
×