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La Wessex Head Injury Matrix (WHIM) est une échelle prometteuse qui permet d'évaluer de manière précise l'évolution des patients en état de conscience altérée du coma jusqu'à une bonne récupération. Elle a été adaptée en français et validée par Majerus, Van der Linden et Shiel (2000). Notre étude avait pour but de confirmer la validité de cette échelle par rapport à d'autres échelles existantes (Glasgow-Liège Coma Scale (GLS), Come-Near Coma Scale (CNC), Western Neurosensory Stimulation Profile (WNSSP). Nous nous sommes également intéressés à l'indice bi-spectral (BIS), une mesure électrophysiologique permettant d'estimer le niveau de conscience. Notre travail a permis de confirmer que la WHIM constitue un outil valide et sensible pour évaluer des patients de la sortie du coma jusqu'à la sortie de l'état de conscience minimale. Le BIS constitue également un outil intéressant et complémentaire pour suivre l'évolution de patients en état de conscience altérée; néanmoins, sa relation précise avec les échelles comportementales reste peu comprise.

TRAUMATISME CRANIEN --- CEREBRO-LESE --- CERVEAU --- NEUROPSYCHOPATHOLOGIE --- VALIDITE (OUTIL) --- WESSEX HEAD INJURY MATRIX --- ELECTROENCEPHALOGRAPHIE --- EVALUATION --- TRAUMATISME CRANIEN --- CEREBRO-LESE --- CERVEAU --- NEUROPSYCHOPATHOLOGIE --- VALIDITE (OUTIL) --- WESSEX HEAD INJURY MATRIX --- ELECTROENCEPHALOGRAPHIE --- EVALUATION

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In spite of medical advances and the increasing number of severely brain-injured patients, the assessment and treatment of patients recovering from coma remain challenging. For over 10 years now, the Coma Science Group has been working on the scientific exploration of disorders of consciousness, with both scientific and clinical research agendas. This book is the result of all this work. The aim is to offer both clinicians and researchers an opportunity to acquire expertise in a field which is constantly developing. Besides diagnostic, prognostic and ethical issues, this book includes well-established findings on assessment techniques (i.e., behavioral scales, electrophysiological explorations and structural/functional neuroimaging) and treatment procedures, but also techniques under development (i.e., the use of classifiers, brain-computer interfaces, transcranial magnetic stimulation or deep brain stimulation) which will stimulate ideas for future research. The Coma Science Group presents here a comprehensive book for readers, regardless of whether they are already familiar with the difficult but exciting field of disorders of consciousness.  .

Nervous system -- Diseases. --- Nervous System Diseases. --- Neurology -- trends. --- Neurology. --- Coma --- Neurobehavioral Manifestations --- Unconsciousness --- Psychophysiology --- Cognition --- Delirium, Dementia, Amnestic, Cognitive Disorders --- Behavior and Behavior Mechanisms --- Mental Disorders --- Psychological Phenomena and Processes --- Neurologic Manifestations --- Mental Processes --- Signs and Symptoms --- Psychiatry and Psychology --- Nervous System Diseases --- Diseases --- Pathological Conditions, Signs and Symptoms --- Consciousness Disorders --- Consciousness --- Medicine --- Health & Biological Sciences --- Neurology --- Pathology --- Rehabilitation --- Patients --- Altered states of consciousness. --- Coma. --- Comatose state --- Altered states of awareness --- Alternate states of consciousness --- ASC (Altered states of consciousness) --- Awareness, Altered states of --- Medicine. --- Neuroradiology. --- Internal medicine. --- Neurosurgery. --- Psychiatry. --- Rehabilitation. --- Medicine & Public Health. --- Internal Medicine. --- Loss of consciousness --- Persistent vegetative state --- Radiology, Medical. --- Medicine and psychology --- Mental health --- Psychology, Pathological --- Nerves --- Neurosurgery --- Medicine, Internal --- Clinical radiology --- Radiology, Medical --- Radiology (Medicine) --- Medical physics --- Nervous system --- Neuropsychiatry --- Surgery --- Neurology . --- Neuroradiography --- Neuroradiology

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Brain damage --- Loss of consciousness --- Altered states of consciousness. --- Coma. --- Imaging. --- Comatose state --- Persistent vegetative state --- Altered states of awareness --- Alternate states of consciousness --- ASCs (Altered states of consciousness) --- Awareness, Altered states of --- Consciousness --- Blackouts (Loss of consciousness) --- Consciousness, Loss of --- Insensibility --- Unconscious state --- Unconsciousness --- Neurologic manifestations of general diseases --- Brain --- Psychology, Pathological --- Diseases --- Wounds and injuries --- Coma --- Consciousness - physiology --- Resuscitation

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This revised and expanded second edition discusses the assessment and treatment of patients recovering from coma and disorders of consciousness. Besides diagnostic, prognostic and ethical issues, this book describes well-established techniques and procedures, and also techniques under development. New chapters include consciousness theories, issues relating to long-term care, and neuromodulation treatments. Coma and Disorders of Consciousness, Second Edition is a comprehensive review of the field for clinicians and researchers, regardless of whether they are already familiar with the difficult but exciting field of disorders of consciousness.

Social policy and particular groups --- Radiotherapy. Isotope therapy --- Physical methods for diagnosis --- Psychiatry --- Neuropathology --- Surgery --- neurologie --- psychiatrie --- farmacologie --- hersenen --- neurochirurgie --- pneumologie --- rehabilitatie --- radiologie --- sociale integratie

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Social policy and particular groups --- Radiotherapy. Isotope therapy --- Psychiatry --- Neuropathology --- Surgery --- neurologie --- psychiatrie --- hersenen --- neurochirurgie --- rehabilitatie --- klinische psychologie --- radiologie --- sociale integratie