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Kondratieva E.A.

Polenov Neurosurgical Institute branch of Almazov National Medical Research Centre

Likhterman L.B.

Burdenko Neurosurgical Center

Zakharova N.E.

Burdenko Neurosurgical Center

Ivanova N.E.

Polenov Russian Scientific Research Neurosurgical Institute — branch of Almazov National Medical Research Center

Kondratiev A.N.

Polenov Neurosurgical Institute

Symptoms of dissociation and disconnection in patients with disorders of consciousness

Authors:

Kondratieva E.A., Likhterman L.B., Zakharova N.E., Ivanova N.E., Kondratiev A.N.

More about the authors

Journal: Russian Journal of Anesthesiology and Reanimatology. 2022;(6): 75‑82

DOI: 10.17116/anaesthesiology202206175

Read: 2613 times

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Table of contents

SYMPTOMS OF DISSOCIATION AND DISCONNECTION IN PATIENTS WITH DISORDERS OF CONSCIOUSNESS
SYMPTOMS OF DISSOCIATION AND DISCONNECTION IN PATIENTS WITH DISORDERS OF CONSCIOUSNESS

To cite this article:

Kondratieva EA, Likhterman LB, Zakharova NE, Ivanova NE, Kondratiev AN. Symptoms of dissociation and disconnection in patients with disorders of consciousness. Russian Journal of Anesthesiology and Reanimatology. 2022;(6):75‑82. (In Russ.)
https://doi.org/10.17116/anaesthesiology202206175

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Abstract:

The authors present methodological approaches to analysis of neurological symptoms and dysregulation of various functions in patients with chronic disorders of consciousness based on comprehensive assessment with allocation of symptoms of dissociation and disconnection. This can improve accuracy of prognosis and outcomes. Importantly, the concept of allostasis is applicable to these patients. Clinical manifestations of allostasis are paroxysmal sympathetic hyperactivity and systemic inflammatory reaction.

Keywords:

chronic disorders of consciousness
vegetative state
unresponsive wakefulness syndrome
minimally conscious state
allostasis
cognitive-motor dissociation
dissociation
sympathetic hyperactivity
circadian rhythms

Authors:

Kondratieva E.A.

Polenov Neurosurgical Institute branch of Almazov National Medical Research Centre

Likhterman L.B.

Burdenko Neurosurgical Center

Zakharova N.E.

Burdenko Neurosurgical Center

Ivanova N.E.

Polenov Russian Scientific Research Neurosurgical Institute — branch of Almazov National Medical Research Center

Kondratiev A.N.

Polenov Neurosurgical Institute

Received:

07.06.2022

Accepted:

04.08.2022

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