FISIOPATOLOGÍA DE LA CONCIENCIA Y COMA

May 20, 2019 | Author: Sociedad Científica de Estudiantes de Medicina de Ica | Category: Thalamus, Cerebral Cortex, Brain, Coma, Nervous System
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II Curso de Fisiopatología Clínica SOCEMI 2009

FISIOP FISI OPA ATOLOG TOLOGÍA ÍA DE LA CONC CONCIENC IENCIA IA Y EL COMA

DR. ANGEL ANICAMA Neurólogo

COMA:

gr koma,  sueño profundo 1

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CONCIENCIA Y COMA  Conciencia: estado continuo de alerta sobre

el entorno y sobre uno mismo  Tiene 2 componentes neurofisiológicos:  Nivel deconciencia(vigilia, nivel de

estimulación):tronco encefálico conciencia:corteza corteza cerebral  Contenido de conciencia:

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CONCIENCIA  Implica

el conocimiento de nosotros mismos y del medio que nos rodea

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COMA  Ausencia de respuesta a cualquier estímulo o

necesidad interna

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Alteración de co conciencia

Alerta Delirio Obnubilación

Normal Incremento del sueño, desorientación, miedo, ag ac n, a menu o a uc nac ones v sua es Moderada reducción reducción de la conciencia, disminución del interés por el medio ambiente

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Sustrato anatomofisiológico de la conciencia  Sistema reticular activador ascendente:

desde el nivel mediopontino hasta los núcleos intralaminares, los de la línea media y los  Sistemas corticales cerebrales difusamente

interconectados

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ANATOMIA DEL ESTADO DE DESPERTAR  La activación cortical requiere de varias

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act ivas durante  Todas éstas estructuras están activas

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