持续植物状态
最小意识状态
清醒
彗差(光学)
医学
意识
意识障碍
意识水平
隐蔽的
唤醒
重症监护医学
神经科学
脑电图
麻醉
听力学
精神科
心理学
语言学
哲学
物理
光学
作者
Ruth Tangonan,Christos Lazaridis
标识
DOI:10.1016/j.pmr.2023.06.013
摘要
Acute disorders of consciousness (DOC) are impairments in arousal and awareness that occur within 28 days of an initial injury and can result from a variety of insults. These states range from coma, unresponsive wakefulness, covert consciousness, minimal consciousness, to confusional state. It is important to perform thorough, serial examinations with particular emphasis on the level of consciousness, brainstem reflexes, and motor responses. Evaluation of acute DOC includes laboratory tests, imaging, and electrophysiology testing. Prognostication in the acute phase of DOC must be done cautiously, using open, frequent communication with families, and by acknowledging significant multidimensional uncertainty.
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