Description
The 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.In addition, video clips on neurologic examination and neurologic manifestations seen in comatose patients can be found here: http://oxfordmedicine.com/comatosepatient2e. All video recordings from the first edition have been reformatted and remastered for optimal use, and several more video clips of patients have also been included.
Table of Contents
Preface to the Second editionPreface to the First editionPart I: Understanding, Diagnosing, and Care of Comatose States1. A History of Coma: Evolution of Ideas2. The Neuroscience of the Awake State3. Neurological Examination of the Comatose Patient and Localization Principles4. Prolonged Impaired Consciousness5. Brain Death6. Neuroimaging, Neurophysiology and Neuropathology7. Clinical Diagnosis and Decisions8. Medical Care of the Comatose Patient9. Recovery and Rehabilitation10. Law and Bioethics11. Media and popular culturePart II: The Clinical Approach to the Comatose Patient in 100 Vignettes12 Introduction to 100 Clinical Vignettes13 Comatose and traumatic brain injury14 Comatose and gunshot wound to the brain15 Comatose and traumatic brainstem lesion16 Comatose after shaken impact syndrome17 Comatose and acute epidural hematoma18 Comatose and acute subdural hematoma19 Comatose after cerebral hematoma20 Comatose and intraventricular hemorrhage21 Comatose and pontine hemorrhage22 Comatose and cerebellar hemorrhage23 Comatose and aneurysmal subarachnoid hemorrhage24 Comatose and cerebral venous thrombosis25 Comatose and hemispheric stroke26 Comatose and bihemispheric stroke27 Comatose and basilar artery occlusion28 Comatose and bacterial meningitis29 Comatose and brain abscess30 Comatose and empyema31 Comatose and acute herpes simplex encephalitis32 Comatose and H1N1 influenza33 Comatose and rabies encephalitis34 Comatose and mumps encephalitis35 Comatose and acute necrotic encephalitis36 Comatose and zoonotic disease37 Comatose and neuroaspergillosis38 Comatose and nocardiosis39 Comatose and high-grade astrocytoma40 Comatose and CNS lymphoma41 Comatose and metastasis42 Comatose and gliomatosis43 Comatose and paraneoplastic limbic-encephalitis44 Comatose and autoimmune encephalitis45 Comatose and acute disseminated encephalomyelitis46 Comatose and fulminant multiple sclerosis47 Comatose and osmotic demyelination48 Comatose and acute hydrocephalus49 Comatose and CSF hypotension50 Comatose and convulsive status epilepticus51 Comatose and nonconvulsive status epilepticus52 Comatose in the recovery room53 Comatose after organ transplantation54 Comatose after coronary artery bypass surgery55 Comatose on ECMO56 Comatose after brain biopsy and craniotomy57 Comatose and epilepsy surgery58 Comatose after cerebral angiogram59 Comatose after clipping of a ruptured cerebral aneurysm60 Comatose after endovascular treatment of ruptured cerebral aneurysm61 Comatose and hypothermia62 Comatose and CO inhalation63 Comatose and heatstroke64 Comatose and near drowning65 Comatose after cardiopulmonary resuscitation66 Comatose after therapeutic hypothermia67 Comatose after near hanging68 Comatose after fat embolism syndrome69 Comatose and air embolism70 Comatose after status asthmaticus71 Comatose and acute uremia72 Comatose and acute hypertensive crises73 Comatose and fulminant hepatic failure74 Comatose and chronic liver disease75 Comatose and thyroid disease76 Comatose and sepsis77 Comatose and endocarditis78 Comatose after aorta dissection79 Comatose and hypoglycemia80 Comatose and hyperglycemia81 Comatose and hyponatremia82 Comatose and hypernatremia83 Comatose and hypercalcemic crises84 Comatose and hypercapnia85 Comatose and pituitary apoplexy86 Comatose and systemic lupus erythematosus87 Comatose and central nervous system vasculitis88 Comatose and acute thrombocytopenia89 Comatose and acute leukemia90 Comatose and acute porphyria91 Comatose and urea cycle disorder92 Comatose and Wernicke-Korsakoff Syndrome93 Comatose and MELAS94 Comatose and premature newborn95 Comatose and fulminant cerebral vasoconstriction96 Comatose and puerperium97 Comatose and chemotherapy toxicity98 Comatose and intrathecal baclofen overdose99 Comatose and cefepime toxicity100 Comatose and acetaminophen overdose101 Comatose and tricyclic antidepressant overdose102 Comatose and SSRI overdose103 Comatose and alcohol intoxication104 Comatose and ethylene glycol ingestion105 Comatose and salicylate overdose106 Comatose and opioid overdose107 Comatose and benzodiazepine overdose108 Comatose and lithium toxicity109 Comatose after a rave party110 Comatose and rapid dementing illness111 Comatose and malignant catatonia112 Comatose and conversion disorder
