The Post-traumatic Vegetative State

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Giuliano Dolce, Leon Sazbon
Thieme, 2002 - Medical - 158 pages
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Written by authors with over 20 years of experience in the rehabilitation of patients in a persistent vegetative state, this practical text bridges a gap in the specialized literature by providing neurologists, emergency physicians, physiatrists, and internists, as well as therapists, with a new set of tools to make rapid progress in the treatment of these patients whose improvement is wholly dependent upon them. A second equally relevant aspect covered in this book is the relationship of the care-giving physician with the patient's family. Particular attention is given to the approach the physician must take towards family members of the patient lacking mental activity. A third section illustrates the structural and instrumental devices useful in planning and operating a unit specialized in the treatment of patients in the persistent vegetative state, with particular attention given to the rules governing the unit.


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Clinical Picture
Prognostic Value of Neurological Signs
Prognosis and Outcome
Ancillary Examination
Neurophysiological Assessment of Brain
Practical Guide to the Management
Minimal Response Syndrome
Policy and Ethics Related to the Minimally
Treating Families of Patients
Focusing on the Staff Emotional Stress
Epilogue and Future Prospects

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Page 8 - The incidence of acute brain injury and serious impairment in a defined population.
Page 118 - Teasdale G, Jennett B. Assessment of coma and impaired consciousness: a practical scale. Lancet 1974;2:81-3.
Page 73 - Magnetization transfer imaging and proton MR spectroscopy in the evaluation of axonal injury: correlation with clinical outcome after traumatic brain injury.
Page 55 - Arieff AI: Hyponatremia, convulsions, respiratory arrest, and permanent brain damage after elective surgery in healthy women.
Page 109 - Simpson DM, Alexander DN, O'Brien CF et al. Botulinum toxin type A in the treatment of upper extremity spasticity: a randomized, double-blind, placebo-controlled trial. Neurology 1996; 46:1306-1310.
Page 9 - Gennarelli TA, Thibault LE, Adams JH, et al. Diffuse axonal injury and traumatic coma in the primate.
Page 85 - Reyes RL, Bhattacharyya AK, Heller D: Traumatic head injury: restlessness and agitation as prognosticators of physical and psychological improvement in patients. Arch Phys Med Rehabil 62:20-23, 1981 Riker RR, Fraser GL, Cox PM: Continuous infusion of haloperidol controls agitation in critically ill patients. Crit Care Med 22:433-440, 1994 Ringman JM, Cummings JL: Metrifonate: update on a new antidementia agent.
Page 58 - Diffuse brain swelling after head injury: More often malignant in adults than children. J Neurosurg 1994: 80: 675-680.
Page 42 - Ho's approach focuses on 1 1 key maturities of the spot rate curve. These rate durations are called key rate durations. The specific maturities on the spot rate curve for which a key rate duration is measured are 3 months, 1 year, 2 years, 3 years, 5 years, 7 years, 10 years, 15 years, 20 years, 25 years, and 30 years.
Page 9 - Adams JH, Doyle D, Ford I, et al. Diffuse axonal injury in head injury: definition, diagnosis and grading.

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About the author (2002)

Senior Lecturer, Sackler School Of Medicine, Tel Aviv University, Former Director Of Intensive Care Unit For Vegetative Patients, Loewenstein Rehabilitation Center, Raanana, Israel

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