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[Rare consciousness disturbances in toxicological practice: akinetic mutism, somnambulism, locked-in syndrome, and psychogenic coma].
[locked-in syndrome]
The
toxicity
of
xenobiotics
can
result
inrare
disorders
of
consciousness
,
such
as
akinetic
mutism
and
somnambulism
as
well
as
syndromes
mimicking
consciousness
disturbances
,
such
as
locked-
in
syndrome
and
psychogenic
coma
.
Akinetic
mutism
is
a
condition
characterized
by
a
lack
of
spontaneous
movements
and
little
or
no
vocalization
.
Somnambulism
include
performing
of
complex
motor
activity
in
an
automatic
manner
during
deep
sleep
,
without
any
awareness
of
its
execution
.
The
locked-
in
syndrome
is
a
state
with
quadriplegia
coexisting
with
cranial
nerves
palsies
and
mutism
,
but
with
fully
preserved
consciousness
.
Psychogenic
coma
is
a
condition
in
which
the
patient
has
preserved
level
of
consciousness
and
awareness
,
but
does
not
communicate
with
theenvironment
and
does
not
exhibit
the
external
manifestations
of
consciousness
.
This
paper
presents
the
etiology
,
clinical
characteristics
,
as
well
as
diagnostic
and
therapeutic
issues
for
the
above
syndromes
.
Diseases
Validation
Diseases presenting
"preserved level of consciousness and awareness"
symptom
locked-in syndrome
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