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A Patho-anatomical Follow-Up of a Case of Coma of Three Years' Duration

David H. Ingvar, MD; Patrick Sourander, MD

Arch Neurol. 1970;23(1):1-8.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THIS is a patho-anatomical follow-up study of a patient who died following a period of coma lasting nearly three years (35 months) due to a vascular lesion of the brain stem. About 18 months following the onset of coma, in 1964, the patient underwent a thorough special study, and the clinical findings at this stage, including measurements of the cerebral blood flow and metabolism, were published.¹ The justification for this further report is twofold. First, comatose states of long duration due to more or less selective lesions of the mesencephalic reticular formation are rare indeed. Such cases may provide information about the role of the reticular system in sustaining the conscious state. Second, as far as we are aware, the present case is the only one in which detailed physiological observations of cerebral activity during the period of coma have been correlated with subsequent necropsy findings. The microscopic . . . [Full Text PDF of this Article]

Author Affiliations
Lund, Sweden

From the Neuropathological Laboratory, Department of Pathology I, University of Gothenburg, and the Department of Clinical Neurophysiology, University Hospital, Lund, Sweden.

Footnotes
Submitted for publication Oct 13, 1969; accepted Nov 3.

Reprint requests to Department of Clinical Neurophysiology, University Hospital, Lund, Sweden (Dr. Ingvar).

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