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E-grāmata: Apallic Syndrome

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The subject of the apallic syndrome is one which has long been familiar to me, although I have not personally studied it as deeply as I would have wished. I became acquainted with this syndrome long before the last war, when my neurosurgical colleague Hugh Cairns (1952), made his pioneer contribution under the term "akinetic mutism" . This was an ar­ resting title, but it was one which did not altogether satisfy some of his colleagues, includ­ ing myself. We found it difficult to suggest an alternative. That is one reason why I wel­ come the expression "apallic syndrome" . Forensic practice has forced me from time to time to consider rather more deeply this distressing syndrome, and to try and marshal my ideas in a form which would satisfy my colleagues in the legal profession. More than once I have been instructed to make a medico­ legal assessment of these unfortunate patients. The points which have concerned my lawyer friends have not been matters of diagnosis, or of morbid anatomy, or of etiology. The fac­ tual problem which has been put before me was to make some approximate assessment as to the expectation of life. Vague guess-work is unacceptable in such circumstances. What the lawyers require is a precise and dogmatic answer.

Papildus informācija

Springer Book Archives
I. Das apallische Syndrom.- Das apallische Syndrom..- II. Clinical
Problems.-
1. Clinical Picture and Problems in Terminology..-
2. The
Symptomatology of the Apallic Syndrome..-
3. The Transition Stage from
Midbrain-Syndrome to Traumatic Apallic Syndrome..-
4. Surgery of Traumatic
Apallic Syndrome..-
5. The Apallic Syndrome in Metabolic Disorders of the
Brain..-
6. Apallic Syndrome Following Protracted Hypoglycemia..-
7. Apallic
Syndrome in the Metabolic Diseases..-
8. Apallic Syndrome Due to
Pharmacotoxic Effects..-
9. Courses of Protracted States of Coma..-
10.
Apallic Syndrome in Diseases of the Cerebral White Matter..-
11.
Psychopathology of the Apallic Syndrome..-
12. On the Psychopathology of
Postapallic Terminal States..- III. Pathology.-
13. Neuropathology of the
Traumatic Apallic Syndrome..-
14. Pathology and Pathogenesis of Apallic
Syndromes Following Closed Head Injuries..-
15. Pathomorphological Aspects of
the Nontraumatic Apallic Syndrome and of the Problem of Traumatic Brainstem
Lesions with a Survival of Several Decades..-
16. Neuropathological
Correlates of Supratentorial Lesions in Traumatic and Nontraumatic Apallic
Syndrome..- IV. Pathophysiology.-
17. An Attempt at Interpretation of the
Apallic Syndrome on the Basis of Experimental Findings..-
18. Experimental
Studies with Cats to Produce a State Similar to the Apallic Syndrome..-
19.
Clinical Pathophysiology of the Apallic Syndrome..- V. Additional Diagnostic
Methods and Investigations.-
20. Temperature Regulation in Acute and Chronic
Mesencephalic Syndrome and in Apallic Syndrome..-
21. A Neuroradiological
Study of Traumatic Apallic Syndrome..-
22. Electroencephalographic Findings
in the Apallic Syndrome..-
23. Studies on Sleep the Apallic Syndrome..-
24.
Complementary Examinations of the Central Nervous System Activity in the
Apallic Syndrome..-
25. Electronystagmographic Findings Following Traumatic
Apallic Syndrome..-
26. Cerebral Blood Flow Reduction After Severe Head
Injury and Its Relationship to the Extent of Brain Damage in Apallic
Syndrome..- VI. Therapy.-
27. Early Treatment of the Initial Stage of the
Apallic Syndrome..-
28. The Medical Therapy of the Apallic Syndrome.-
29.
Problems of Tracheotomy in Patients with the Apallic Syndrome..-
30.
Utilization of the Tonus Regulating Reflexes in the Rehabilitation of the
Apallic Syndrome..-
31. The Rehabilitation of the Apallic Syndrome During the
Phase of the Reintegration of the Higher Function Stages..-
32. The
Rehabilitation of Patients with Apallic Syndrome in the Therapeutic
Community..-
33. The Orthopedic Treatment of Patients with Apallic
Syndrome..-
34. The Apallic Syndrome and Secondary Lesions of Peripheral
Nerves..-
35. Social Problems of the Apallic Syndrome..-
36. A Rating Sheet
to Monitor Apallic Syndrome Patients..