TY  - CHAP
M1  - Book, Section
TI  - Disorders of Consciousness
A1  - Brust, John C. M. 
Y1  - 1
N1  - 
T2  - Practice of Neural Science: A Case-Based Approach
AB  - A  56-year-old  hypertensive  man  collapses  on  the  sidewalk.  Rushed  to  an  emergency  room,  he  is  unresponsive  to  verbal  stimuli,  including  commands  to  look  up  or  down.  Blood  pressure  is  190/100  mm  Hg,  pulse  is  92/minute  and  regular,  and  temperature  is  100.4°F.  Respirations  are  12/minute,  shallow,  and  regular.  Pupils  are  pinpoint  with  a  barely  discernible  reaction  to  light.  Spontaneous  horizontal  eye  movements  are  absent,  but  several  times  per  minute,  his  eyes  move  conjugately  and  briskly  downward,  returning  immediately  to  the  primary  position.  There  is  no  response  to  the  oculocephalic  maneuver  or  to  ice  water  caloric  testing.  His  limbs  are  flaccid  with  tendon  reflexes  of  normal  amplitude;  plantar  stimulation  produces  a  bilateral  flexor  response  of  his  legs  (including  dorsiflexion  of  his  toes).  There  is  no  facial  grimace  or  upper  limb  movement  to  any  painful  stimulus.  
SN  - 
PB  - 
CY  - New York, NY
Y2  - 2024/04/23
UR  - neurology.mhmedical.com/content.aspx?aid=1180670256
ER  -