By D. Joanne Lynn MD, Herbert Newton MD, Alexander Rae-Grant MD
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Extra resources for The 5-Minute Neurology Consult (The 5-Minute Consult Series)
Acute confusional states represent levels of attentional deficits between full responsiveness and lethargy. A locked-in state subject is mute and quadriplegic but conscious and can blink or vertically move the eyes on command. Brain death is declared when there is irreversible cessation of all brain and brainstem function from a known and explainable cause. Clinical Characteristics The subject lies with eyes closed and cannot be aroused verbally or with noxious painful stimuli. There is no spontaneous eye opening, facial movements, utterances, or body movements.
Lesions in the posterior fossa commonly block CSF flow at the level of the aqueduct of Sylvius, again causing obstructive hydrocephalus. Diagnosis Differential Diagnosis Any pathology that causes increased intracranial pressure can cause cerebral herniation syndromes. Diffuse processes are less likely to cause herniation due to the general distribution of the pressure. Focal lesions, particularly laterally placed lesions and infratentorial lesions, are most likely to cause herniation, particularly if they are rapidly progressive.
MR imaging of progressive downward herniation of the diencephalon. Neurology 1997;48(5): 1456-1459. ; Rae-Grant, Alexander D. Title: 5-Minute Neurology Consult, The, 1st Edition Copyright Â©2004 Lippincott Williams & Wilkins > Table of Contents > Section I - Neurologic Symptoms and Signs > Choreoathetosis Choreoathetosis Alexander D. Rae-Grant MD, FRCP (C) Basics Description Choreoathetosis is a combination of the term chorea and the term athetosis. These are two abnormal types of movement that are often combined in the same disorder.
The 5-Minute Neurology Consult (The 5-Minute Consult Series) by D. Joanne Lynn MD, Herbert Newton MD, Alexander Rae-Grant MD