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open access

Vol 8, No 2 (2006)
Prace poglądowe
Published online: 2006-08-04
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Clinical aspects of consciousness disorders in patients with stroke

Barbara Książkiewicz, Walenty M. Nyka, Beata Kukulska-Pawluczuk
Udar Mózgu. Problemy Interdyscyplinarne 2006;8(2):67-75.

open access

Vol 8, No 2 (2006)
Prace poglądowe
Published online: 2006-08-04

Abstract

Disorders of consciousness result from dysfunction of reticular activating system. They essentially influence clinical course of disease and outcome in stroke patients. As it is a life-threatening state it requires intensive monitoring and treatment as well as urgent diagnosis. The level of consciousness that reflects the degree of brain steam insufficiency is estimated on the basis of patient’s spontaneous and intentional activity as well as involuntary reactions. Clinical examination includes assessment of motor and pupillary activity, eye movements, brain steam reflexes and autonomic functions such as breathing, temperature, heart rate and blood pressure. Appropriate clinimetric scales are valuable completion of clinical examination as they facilitate evaluation and monitoring of selected symptoms.

Abstract

Disorders of consciousness result from dysfunction of reticular activating system. They essentially influence clinical course of disease and outcome in stroke patients. As it is a life-threatening state it requires intensive monitoring and treatment as well as urgent diagnosis. The level of consciousness that reflects the degree of brain steam insufficiency is estimated on the basis of patient’s spontaneous and intentional activity as well as involuntary reactions. Clinical examination includes assessment of motor and pupillary activity, eye movements, brain steam reflexes and autonomic functions such as breathing, temperature, heart rate and blood pressure. Appropriate clinimetric scales are valuable completion of clinical examination as they facilitate evaluation and monitoring of selected symptoms.
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Keywords

consciousness; coma; Glasgow Scale; brain stem insufficiency

About this article
Title

Clinical aspects of consciousness disorders in patients with stroke

Journal

Interdisciplinary Problems of Stroke

Issue

Vol 8, No 2 (2006)

Pages

67-75

Published online

2006-08-04

Bibliographic record

Udar Mózgu. Problemy Interdyscyplinarne 2006;8(2):67-75.

Keywords

consciousness
coma
Glasgow Scale
brain stem insufficiency

Authors

Barbara Książkiewicz
Walenty M. Nyka
Beata Kukulska-Pawluczuk

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