Neurol. praxi. 2017;18(2):84-86 | DOI: 10.36290/neu.2018.064

amence, delirium, lucidita, obnubilace, porucha vědomí, vigilita, ABCDE algoritmus, Glasgow coma scale

MUDr. Roman Havlíček¹, MUDr. Martin Voldřich, Ph.D.²

1Neurologické oddělení ÚVN Praha, 2KARIM ÚVN Praha

Disorders of consciousness accompany a wide range of diseases, involving almost all branches of medicine. Despite different

etiology, in the first contact with the patient we should follow a standardized diagnostic approach in order to distinguish the

acutest cases. In less serious cases we have more time for diagnostics – detailed medical history and further investigations help

us to discover the cause of the problem. The border between the urgent medicine procedures and observation are defined by

the stability of the patient. The aim of this article is not to give a review of anatomy, physiology and neurological examination.

It should rather inform the clinician that even though the differential diagnosis can be initially wide, the first steps of diagnostic

and therapeutic process determine the patient's survival.

Keywords: confusion, delirium, lucidity, obnubilation, disorders of consciousness, vigilance, ABCDE algorithm, Glasgow coma scale

Received: September 24, 2018; Accepted: October 26, 2018; Published: May 1, 2017  Show citation