C_S_D 4030 Lecture Notes - Lecture 9: Focal Neurologic Signs, Glasgow Coma Scale, Absence Seizure
29 Jul 2016
School
Department
Course
Professor
Document Summary
Aphasia: left vs right hem tx part 3. Frequently tired, difficult to awake, long sleep periods. Disorientation or disturbed consciousness for extended duration, then recovery w/o awareness of that period. Temporary physiologic brain dysfunction characterized by abnormal electrical discharge of cortical neurons. Confusion (freq. with short loc) followed by prompt recovery w/o any localizing neurological signs. Memory, attention, sleep disturbances, irritability, depression, headache. Documented trauma, no focal neurological deficit, no intracranial mass lesions. Damage only evident at microscopic level not ct or mri. Loc (loss of consciousness) 20 minutes or less. Gcs (glasgow coma scale) 13-15 w/o deterioration. Disorientated & confused (but respond with eye opening) Sometimes associated with ptsd- post traumatic stress disorder. Limited movement (freq. only eye movements intact) Glasgow coma scale (gcs) (teasdale & jennett, 1974) Rating scale to describe level of consciousness. Possible 15 points eye opening (1-4), motor responses (1-6), Ranchos los amigos levels of cognitive recovery (rla-r) (hagen & malkmus, 1997; hagen 1997 )
