A Clinical and Investigative Approach to the Patient with Diminished Responsiveness

Sara Hocker; Alejandro A. Rabinstein

doi:10.1016/j.ncl.2011.07.003

A Clinical and Investigative Approach to the Patient with Diminished Responsiveness

Sara Hocker, Alejandro A. Rabinstein

Neurology

Research output: Contribution to journal › Review article › peer-review

4 Scopus citations

Abstract

This article elucidates a stepwise approach to the patient with an acute alteration in the content or level of consciousness. The article begins with a discussion of the spectrum of diminished responsiveness. It then details which aspects of the history are important in obtaining an evaluation of these patients and reviews the neurologic examination of the comatose patient. A brief overview of the neuroanatomical localization of consciousness is provided. The differential diagnosis of diminished responsiveness is explored, followed by a discussion of the order and importance of laboratory, neuroimaging, and other ancillary tests.

Original language	English (US)
Pages (from-to)	739-747
Number of pages	9
Journal	Neurologic clinics
Volume	29
Issue number	4
DOIs	https://doi.org/10.1016/j.ncl.2011.07.003
State	Published - Nov 2011

Keywords

Coma
Diagnosis
Encephalopathy
Evaluation

ASJC Scopus subject areas

Clinical Neurology

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10.1016/j.ncl.2011.07.003

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abstract = "This article elucidates a stepwise approach to the patient with an acute alteration in the content or level of consciousness. The article begins with a discussion of the spectrum of diminished responsiveness. It then details which aspects of the history are important in obtaining an evaluation of these patients and reviews the neurologic examination of the comatose patient. A brief overview of the neuroanatomical localization of consciousness is provided. The differential diagnosis of diminished responsiveness is explored, followed by a discussion of the order and importance of laboratory, neuroimaging, and other ancillary tests.",

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AB - This article elucidates a stepwise approach to the patient with an acute alteration in the content or level of consciousness. The article begins with a discussion of the spectrum of diminished responsiveness. It then details which aspects of the history are important in obtaining an evaluation of these patients and reviews the neurologic examination of the comatose patient. A brief overview of the neuroanatomical localization of consciousness is provided. The differential diagnosis of diminished responsiveness is explored, followed by a discussion of the order and importance of laboratory, neuroimaging, and other ancillary tests.

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KW - Diagnosis

KW - Encephalopathy

KW - Evaluation

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A Clinical and Investigative Approach to the Patient with Diminished Responsiveness

Abstract

Keywords

ASJC Scopus subject areas

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