TY - CHAP M1 - Book, Section TI - Nonepileptic Movements in Coma A1 - Gomez, Mauricio A1 - Miller, Chad M. A2 - Sirven, Joseph I. A2 - Stern, John M. PY - 2011 T2 - Atlas of Video-EEG Monitoring AB - It might seem as if it came straight out of a movie: a comatose patient suddenly moves his hand in a purposeful manner, trying to grab the bed rail or even your hand. There are times when a neurologist may be called to evaluate such a patient with limb movements that may seem rhythmic, chaotic, sudden, or purposeful, or even eyes that may be moving from side to side as if scanning the surroundings. For some, this concept may seem enigmatic or even raise doubts that the patient is in a coma. Although the novice may find such a consultation intellectually perplexing, the experienced neurologist encounters this routinely. Typically, the neurologist is asked to investigate because of clinical concerns of a seizure. While evaluating these patients, the clinician also must be able to distinguish between the different states of consciousness that may mimic coma, such as akinetic mutism, locked-in state, coma vigil, vegetative state, and even psychogenic unresponsiveness. This chapter will provide a review of different types of nonepileptic movements in coma patients. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/20 UR - neurology.mhmedical.com/content.aspx?aid=1103050594 ER -