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SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients
11:05

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Published on: February 6, 2021

Impaired consciousness.

Monica Acciarresi1, Andrea Alberti

  • 1Stroke Unit and Division of Internal and Cardiovascular Medicine, Santa Maria della Misericordia Hospital, Perugia, Italy. macun77@hotmail.com

Frontiers of Neurology and Neuroscience
|March 2, 2012
PubMed
Summary
This summary is machine-generated.

Sudden consciousness disturbances are common in stroke patients, especially with brainstem strokes like basilar artery occlusion. Prompt stroke investigation is crucial for patients experiencing altered consciousness.

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Area of Science:

  • Neurology
  • Neuroscience
  • Internal Medicine

Background:

  • Altered consciousness, including coma, frequently complicates the clinical presentation of stroke patients.
  • Brainstem strokes, particularly those involving the basilar artery, can manifest primarily as sudden disturbances in consciousness.

Purpose of the Study:

  • To highlight the significance of sudden consciousness impairment as a potential indicator of stroke.
  • To emphasize the need for vigilant clinical evaluation for stroke in patients presenting with altered consciousness.

Main Methods:

  • Review of clinical presentations of stroke patients.
  • Analysis of neurological syndromes associated with brainstem stroke and basilar artery occlusion.

Main Results:

  • Sudden disturbance of consciousness is a predominant syndrome in certain stroke types, notably basilar artery occlusion.
  • Impaired consciousness is a common finding among patients diagnosed with stroke.

Conclusions:

  • Clinicians must maintain a high index of suspicion for stroke in patients with unexplained sudden alterations in consciousness.
  • Thorough neurological assessment is essential to rule out stroke in cases of acute consciousness disturbance.