RT Book, Section A1 Greenberg, David A. A1 Aminoff, Michael J. A1 Simon, Roger P. SR Print(0) ID 1182388910 T1 Confusional States T2 Clinical Neurology, 11e YR 2021 FD 2021 PB McGraw-Hill Education PP New York, NY SN 9781260458350 LK neurology.mhmedical.com/content.aspx?aid=1182388910 RD 2024/04/16 AB A confusional state, also referred to as encephalopathy or delirium, is a condition in which the level of consciousness is depressed, but to a lesser extent than in coma (unarousable unresponsiveness; see Chapter 3, Coma). In confusional states, responses to stimulation are at least semi-purposeful, whereas in coma, patients fail to respond to even painful stimulation or do so only in reflex fashion. Thus, the difference between a confusional state and coma is largely one of degree, and the causes overlap extensively.