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Saturday, 08.08.2020, 06:09
Main » Psychoneurology » Disturbance of consciousness 
16:03
Disturbance of consciousness


Consciousness - the higher integrative mental process. It takes place in the waking state cognitive reflection of the objective world and himself, the subject contributes to adaptation to the environment.

Confusion - total disintegration of all mental activity, consisting in a qualitative change in the content of consciousness, in his "perversion." In contrast to the confusion in the mind off the reflection is present, but its content is not an objective reality, and the world of painful experiences of the patient.

Among the confusion are distinguished:

oneyroidnoe confusion - a psychotic condition characterized by kaleidoscopic experiences, which are merged into one real and illusory, and hallucinatory. Typical of the unusual, fantastic occurrences and conditions experienced by patients who are usually wearing a dark menacing character. Sometimes it is picture of the grand catastrophe. Usually the patient is an observer, not participant in the events. It is noted a complete detachment from the real events, numbness, passivity.

delirious confusion - the leading symptoms - disorientation in the real environment while maintaining the orientation of the self and the true visual hallucinations. Patients often nervous, anxious. Perhaps the development of an acute sense of delusion.
amentia dizziness (amentia) - a deep total disintegration of all mental activity, which manifests a complete disorientation, severe violation of the active attention to its abrupt distraction, the nature of the host gipermetamorfoza, and psychomotor agitation, often amounting to a chaotic throwing. The patient usually does not leave the bed. Excitation at times interrupted by immobility. This condition develops in the presence of heavy intoxication.


Shutdown of consciousness - a total violation of the reflectivity of which is to reduce, until the complete disappearance of all the volume and depth of mental functioning to levels reflecting the transition from high to low.

The following types of shutdown of consciousness:

stunning - the difficulty, simplification and a significant decrease in the reflectivity of all mental activity. Orientation of patients with complicated, gets fragmented, the issues are seen with difficulty, the answers are incomplete, inaccurate. Upon his release - amnesia.

sopor - the orientation can not in general remain a reaction to strong stimuli - pain stimulus, a loud shout. Decreased muscle tone, absent deep tendon, periosteal and skin reflexes.

coma - a profound disturbance of consciousness, characterized by depression of central nervous system, the lack of response to external stimuli, the sensitivity of active movements, reflexes.




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