| Long-term results in 62 cases of post-traumatic complete apallic syndrome. | |
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MedLine Citation:
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PMID: 835386 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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After the transition state of decerebrate coma, at least four different kinds of the so-called apallic status can be identified: 1. Complete apallic syndrome: coma vigil, alertness without any awareness, mass movements only, impairment of sleep rhythm, absence of any emotional responses, postural abnormalities, some primitive motor responses, tetraplegia, and alteration of muscle tone. 2. Incomplete apallic syndrome: some of the features of the complete apallic syndrome are lacking, and the patient shows emotional reactions with appropriate grimacing and some appropriate motor responses. 3. False apallic syndrome: most signs of complete apallic syndrome are present, but the patient is in touch with the environment. This condition is somewhat similar to the so-called locked-in syndrome. 4. Functional apallic syndrome: full clinical picture of the complete apallic syndrome but full recovery within a few days. Long-term results in 62 patients, aged between 4 and 62, affected by a post-traumatic complete apallic syndrome are reported. Thirty two patients were operated upon and 30 were not operated upon. Out of these cases, 38 died after weeks or months; 3 patients entered a chronic apallic status; 2 patients are improving; 10 recovered with severe neurological or psychic sequels or both; 4 recovered with minimal sequels, and 5 without sequels; no patients in these two last groups were aged more than 20. |
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Authors:
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C A Pagni; M Giovanelli; G Tomei; M Zavanone; G Signoroni; E Cappricci |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta neurochirurgica Volume: 36 ISSN: 0001-6268 ISO Abbreviation: Acta Neurochir (Wien) Publication Date: 1977 |
Date Detail:
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Created Date: 1977-03-31 Completed Date: 1977-03-31 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0151000 Medline TA: Acta Neurochir (Wien) Country: AUSTRIA |
Other Details:
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Languages: eng Pagination: 37-45 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Age Factors Brain Damage, Chronic / mortality, surgery Brain Edema / surgery Brain Injuries / complications* Child Child, Preschool Coma / etiology, mortality, physiopathology* Decerebrate State / physiopathology Female Follow-Up Studies Hematoma, Subdural / surgery Humans Male Middle Aged Syndrome |
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