Clinical Issues in the Management of Unconsciousness and Vegetative State Patients
Unconsciousness is diagnosed by the lack of response to verbal, painful and other external stimulation . Lesions include brainstem reticular formations, whole brain mantle cortex, and interconnection brain between the cortices and reticular formation. However, after use of brain hypothermia treatment that includes treatment for stress-associated hypothalamus-pituitary-adrenal (HPA) axis neurohormonal dysfunction , many herniated patients, who would previously have been considered to have a low chances of survival using intracranial pressure (ICP)-oriented treatment, have survived [2,5]. In this group, we have observed many patients whose recoveries are difficult to explain and understand by the previous diagnostic method of the Glasgow Coma Scale (GCS) .
KeywordsGlasgow Coma Scale Reticular Formation Brain Damage External Stimulation Severe Brain Injury
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