| Delayed arousal. | |
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MedLine Citation:
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PMID: 19825485 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Elderly patients have medical and psychological problems affecting all major organ systems. These problems may alter the pharmacokinetics and/or pharmacodynamics of medications, or expose previous neurologic deficits simply as a result of sedation. Delayed arousal, therefore, may arise from structural problems that are pre-existent or new, or metabolic or functional disorders such as convulsive or nonconvulsive seizures. Determining the cause of delayed arousal may require clinical, chemical, and structural tests. Structural problems that impair consciousness arise from a small number of focal lesions to specific areas of the central nervous system, or from pathology affecting the cerebrum. In general, focal or multifocal lesions can be identified by computerized tomography, or diffusion-weighted imaging. An algorithm is presented that outlines a workup for an elderly patient with delayed arousal. |
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Authors:
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Zirka H Anastasian; Eugene Ornstein; Eric J Heyer |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, N.I.H., Extramural; Review |
Journal Detail:
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Title: Anesthesiology clinics Volume: 27 ISSN: 1932-2275 ISO Abbreviation: Anesthesiol Clin Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-10-14 Completed Date: 2009-12-30 Revised Date: 2011-07-25 |
Medline Journal Info:
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Nlm Unique ID: 101273663 Medline TA: Anesthesiol Clin Country: United States |
Other Details:
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Languages: eng Pagination: 429-50, table of contents Citation Subset: IM |
Affiliation:
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Division of Neurosurgical Anesthesiology, Department of Anesthesiology, Columbia University, New York, NY 10032, USA. zh2114@columbia.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anesthesia Recovery Period* Arousal / drug effects, physiology* Brain / physiology Consciousness / drug effects, physiology Female Humans Neural Pathways / physiology Neuroma, Acoustic / complications, surgery Postoperative Complications / therapy* Seizures / complications |
| Grant Support | |
ID/Acronym/Agency:
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R01 AG017604-05A2/AG/NIA NIH HHS; R01-AG16404/AG/NIA NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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