LEADER 05691nam 2200661 450 001 9910819111003321 005 20230803221523.0 010 $a0-19-933123-5 010 $a0-19-938165-8 010 $a0-19-933122-7 035 $a(CKB)2550000001309486 035 $a(EBL)1707867 035 $a(SSID)ssj0001226372 035 $a(PQKBManifestationID)12511131 035 $a(PQKBTitleCode)TC0001226372 035 $a(PQKBWorkID)11271227 035 $a(PQKB)11507981 035 $a(StDuBDS)EDZ0000242429 035 $a(MiAaPQ)EBC1707867 035 $a(Au-PeEL)EBL1707867 035 $a(CaPaEBR)ebr10875971 035 $a(CaONFJC)MIL614972 035 $a(OCoLC)880877998 035 $a(EXLCZ)992550000001309486 100 $a20140613h20142014 uy 0 101 0 $aeng 135 $aur|n||||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 14$aThe comatose patient /$fEelco F. M. Wijdicks 205 $aSecond edition. 210 1$aNew York, New York :$cOxford University Press,$d2014. 210 4$dİ2014 215 $a1 online resource (809 p.) 300 $aDescription based upon print version of record. 311 $a0-19-933121-9 311 $a1-306-83721-9 320 $aIncludes bibliographical references at the end of each chapters and index. 327 $a""Cover""; ""THE COMATOSE PATIENT""; ""Copyright""; ""CONTENTS""; ""COLLECTION OF VIDEOCLIPS (VC)""; ""PREFACE TO THE SECOND EDITION""; ""PREFACE TO THE FIRST EDITION""; ""Part I Diagnosing, and Care of Comatose States""; ""1 A History of Coma: Evolution of Ideas""; ""Understanding Brain Herniation""; ""Concepts and Benchmarks""; ""Revision of a Paradigm""; ""Understanding the Role of Increased Intracranial Pressure""; ""Understanding Localization and Key Clinical Signs in Coma""; ""Decerebrate Rigidity""; ""Fixed Dilated Pupil""; ""Oculovestibular Reflex""; ""Breathing Patterns"" 327 $a""Understanding the Mechanisms of Metabolic and Diffuse Encephalopathies""""Understanding Psychogenic Unresponsiveness""; ""Understanding the Spectrum of Prolonged Comatose States""; ""Classification of Coma and Major Works""; ""Prognostication of Coma""; ""Conclusions""; ""2 The Neuroscience of the Awake State""; ""Early Studies""; ""The Anatomy of the Awake State""; ""The Chemistry of the Awake State""; ""The Physiology of the Awake State""; ""Translation into Clinical Practice""; ""Conclusions""; ""3 Neurologic Examination of the Comatose Patient and Localization Principles"" 327 $a""Definitions""""Locked-in Syndrome""; ""Hypersomnia""; ""Acute Confusional State and Delirium""; ""Stupor and Coma""; ""The Clinical Examination of a Comatose Patient""; ""Fundamentals of Functional Anatomy""; ""Physical Examination""; ""Neurologic Examination: Coma Scales and the FOUR Score""; ""Neurological Examination: Clinical Observations""; ""Breathing Patterns""; ""Cranial Nerve Examination""; ""Spontaneous Movements""; ""Localization Principles and Brain Displacement Syndromes""; ""Conclusions""; ""4 The Clinical Diagnosis of Prolonged Impaired Consciousness"" 327 $a""Categories of Outcome""""Persistent Vegetative State""; ""Minimally Conscious State and Akinetic Mutism""; ""Laboratory Investigations""; ""Prediction of Outcome""; ""Conclusions""; ""5 The Clinical Diagnosis of Brain Death""; ""Code of Practice""; ""The Clinical Examination""; ""Prerequisites and Major Confounders""; ""The Bedside Examination""; ""Coma""; ""Absence of Brainstem Reflexes""; ""No Breathing Drive""; ""Confirmatory Tests""; ""Documentation""; ""Special Issues""; ""Pathophysiological Response to Brain Death""; ""Organ Procurement""; ""Conclusions"" 327 $a""6 Neuroimaging, Neurophysiology, and Neuropathology""""Neuroimaging in Coma""; ""Diagnostic Imaging of Brain Tissue Shift""; ""Diagnostic Imaging of Gray and White Matter Disorders""; ""Neurophysiology of Coma""; ""EEG Patterns in Coma""; ""Continuous EEG Monitoring""; ""Evoked Potentials""; ""Neuropathology of Coma""; ""Specific Types of Injury""; ""Hypoxemia and Ischemia""; ""Infarction and Hemorrhage""; ""Trauma and Abuse""; ""Infection""; ""Demyelination""; ""Neurotoxicity""; ""Disease States""; ""Pathology of Brain Herniation""; ""Persistent Vegetative State""; ""Brain Death"" 327 $a""Conclusions"" 330 $aThe Comatose Patient, Second Edition, is a critical historical overview of the concepts of consciousness and unconsciousness, covering all aspects of coma within 100 detailed case vignettes. This comprehensive text includes principles of neurologic examination of comatose patients as well as instruction of the FOUR Score coma scale, and also discusses landmark legal cases and ethical problems. As the Chair of Division of Critical Care Neurology at Mayo Clinic, Dr. Wijdicks uses his extensive knowledge to discuss a new practical multistep approach to the diagnosis of the comatose patient. Additionally, this edition includes extensive coverage of the interpretation of neuroimaging and its role in daily practice and decision making, as well as management in the emergency room and ICU. Dr. Wijdicks details long-term supportive care and an appropriate approach to communication with family members about end-of-life decision making. 606 $aComa 615 0$aComa. 676 $a616.8/49 700 $aWijdicks$b Eelco F. M.$f1954-$0868631 712 02$aMayo Foundation for Medical Education and Research, 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910819111003321 996 $aThe comatose patient$93967446 997 $aUNINA