The Comatose Patient

Professor of NeurologyMayo Clinic College of MedicineChair, Division of Critical Care NeurologyConsultant, Neurosciences Intensive Care UnitSaint Marys HospitalMayo Clinic, Rochester, MN

This is a defining work on coma. This edition has been extensively revised and expanded, adding 25 new case vignettes. All chapters have been updated as reflected by reference lists.

• Preface to the Second edition ; Preface to the First edition ; Part I: Understanding, Diagnosing, and Care of Comatose States ; 1. A History of Coma: Evolution of Ideas ; 2. The Neuroscience of the Awake State ; 3. Neurological Examination of the Comatose Patient and Localization Principles ; 4. Prolonged Impaired Consciousness ; 5. Brain Death ; 6. Neuroimaging, Neurophysiology and Neuropathology ; 7. Clinical Diagnosis and Decisions ; 8. Medical Care of the Comatose Patient ; 9. Recovery and Rehabilitation ; 10. Law and Bioethics ; 11. Media and popular culture ; Part II: The Clinical Approach to the Comatose Patient in 100 Vignettes ; 12 Introduction to 100 Clinical Vignettes ; 13 Comatose and traumatic brain injury ; 14 Comatose and gunshot wound to the brain ; 15 Comatose and traumatic brainstem lesion ; 16 Comatose after shaken impact syndrome ; 17 Comatose and acute epidural hematoma ; 18 Comatose and acute subdural hematoma ; 19 Comatose after cerebral hematoma ; 20 Comatose and intraventricular hemorrhage ; 21 Comatose and pontine hemorrhage ; 22 Comatose and cerebellar hemorrhage ; 23 Comatose and aneurysmal subarachnoid hemorrhage ; 24 Comatose and cerebral venous thrombosis ; 25 Comatose and hemispheric stroke ; 26 Comatose and bihemispheric stroke ; 27 Comatose and basilar artery occlusion ; 28 Comatose and bacterial meningitis ; 29 Comatose and brain abscess ; 30 Comatose and empyema ; 31 Comatose and acute herpes simplex encephalitis ; 32 Comatose and H1N1 influenza ; 33 Comatose and rabies encephalitis ; 34 Comatose and mumps encephalitis ; 35 Comatose and acute necrotic encephalitis ; 36 Comatose and zoonotic disease ; 37 Comatose and neuroaspergillosis ; 38 Comatose and nocardiosis ; 39 Comatose and high-grade astrocytoma ; 40 Comatose and CNS lymphoma ; 41 Comatose and metastasis ; 42 Comatose and gliomatosis ; 43 Comatose and paraneoplastic limbic-encephalitis ; 44 Comatose and autoimmune encephalitis ; 45 Comatose and acute disseminated encephalomyelitis ; 46 Comatose and fulminant multiple sclerosis ; 47 Comatose and osmotic demyelination ; 48 Comatose and acute hydrocephalus ; 49 Comatose and CSF hypotension ; 50 Comatose and convulsive status epilepticus ; 51 Comatose and nonconvulsive status epilepticus ; 52 Comatose in the recovery room ; 53 Comatose after organ transplantation ; 54 Comatose after coronary artery bypass surgery ; 55 Comatose on ECMO ; 56 Comatose after brain biopsy and craniotomy ; 57 Comatose and epilepsy surgery ; 58 Comatose after cerebral angiogram ; 59 Comatose after clipping of a ruptured cerebral aneurysm ; 60 Comatose after endovascular treatment of ruptured cerebral aneurysm ; 61 Comatose and hypothermia ; 62 Comatose and CO inhalation ; 63 Comatose and heatstroke ; 64 Comatose and near drowning ; 65 Comatose after cardiopulmonary resuscitation ; 66 Comatose after therapeutic hypothermia ; 67 Comatose after near hanging ; 68 Comatose after fat embolism syndrome ; 69 Comatose and air embolism ; 70 Comatose after status asthmaticus ; 71 Comatose and acute uremia ; 72 Comatose and acute hypertensive crises ; 73 Comatose and fulminant hepatic failure ; 74 Comatose and chronic liver disease ; 75 Comatose and thyroid disease ; 76 Comatose and sepsis ; 77 Comatose and endocarditis ; 78 Comatose after aorta dissection ; 79 Comatose and hypoglycemia ; 80 Comatose and hyperglycemia ; 81 Comatose and hyponatremia ; 82 Comatose and hypernatremia ; 83 Comatose and hypercalcemic crises ; 84 Comatose and hypercapnia ; 85 Comatose and pituitary apoplexy ; 86 Comatose and systemic lupus erythematosus ; 87 Comatose and central nervous system vasculitis ; 88 Comatose and acute thrombocytopenia ; 89 Comatose and acute leukemia ; 90 Comatose and acute porphyria ; 91 Comatose and urea cycle disorder ; 92 Comatose and Wernicke-Korsakoff Syndrome ; 93 Comatose and MELAS ; 94 Comatose and premature newborn ; 95 Comatose and fulminant cerebral vasoconstriction ; 96 Comatose and puerperium ; 97 Comatose and chemotherapy toxicity ; 98 Comatose and intrathecal baclofen overdose ; 99 Comatose and cefepime toxicity ; 100 Comatose and acetaminophen overdose ; 101 Comatose and tricyclic antidepressant overdose ; 102 Comatose and SSRI overdose ; 103 Comatose and alcohol intoxication ; 104 Comatose and ethylene glycol ingestion ; 105 Comatose and salicylate overdose ; 106 Comatose and opioid overdose ; 107 Comatose and benzodiazepine overdose ; 108 Comatose and lithium toxicity ; 109 Comatose after a rave party ; 110 Comatose and rapid dementing illness ; 111 Comatose and malignant catatonia ; 112 Comatose and conversion disorder