PART 12: Critical Care Medicine
SECTION 3 Neurologic Critical Care
274 Coma
 | Figure 274-1 Types of cerebral herniation. (A) uncal; (B) central; (C) transfalcial; (D) foraminal. |
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 | Figure 274-2 Coronal (A) and axial (B) magnetic resonance images from a stuporous patient with a left third nerve palsy as a result of a large left-sided subdural hematoma (seen as a gray-white rim). The upper midbrain and lower thalamic regions are compressed and displaced horizontally away from the mass, and... |
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 | Figure 274-3 Examination of brainstem reflexes in coma. Midbrain and third nerve function are tested by pupillary reaction to light, pontine function by spontaneous and reflex eye movements and corneal responses, and medullary function by respiratory and pharyngeal responses. Reflex conjugate, horizontal eye movements are dependent on the medial longitudinal fasciculus (MLF) interconnecting... |
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