Chapter 9. Spindle Coma[1–5]

  1. Peter W. Kaplan MB, FRCP1 and
  2. Thien Nguyen MD, PhD2

Published Online: 4 SEP 2010

DOI: 10.1002/9781444322972.ch9

Clinical Electrophysiology

Clinical Electrophysiology

How to Cite

Kaplan, P. W. and Nguyen, T. (2010) Spindle Coma[1–5], in Clinical Electrophysiology, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444322972.ch9

Author Information

  1. 1

    Department of Neurology, The Johns Hopkins University School of Medicine & Johns Hopkins Bayview Medical Center, Baltimore, MA, USA

  2. 2

    Department of Neurology, The Johns Hopkins University School of Medicine & The Johns Hopkins Hospital, Baltimore, MA, USA

Publication History

  1. Published Online: 4 SEP 2010
  2. Published Print: 8 OCT 2010

ISBN Information

Print ISBN: 9781405185295

Online ISBN: 9781444322972

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Keywords:

  • Spindle coma;
  • Clinical Correlation - brainstem reflexes-pupil reactions, vestibulo-ocular reflex, gag, spontaneous breathing-usually present in patients with spindle coma;
  • Etiology - encephalopathy, hypoxia, drugs, and seizures;
  • suggest somatosensory evoked potentials (SSEPs);
  • Prognosis - Spindle coma is rare in children and about a third recovers without deficits-causes include head trauma, drowning, encephalitis seizures and drugs;
  • physicians have used methylphenidate to induce arousal

Summary

This chapter contains sections titled:

  • Clinical Correlation

  • Etiology

  • Evaluation

  • Ancillary Testing

  • Differential Diagnosis

  • Prognosis

  • Treatment

  • References