par Heymans, Gilbert ;Brihaye, Jean
Référence Bruxelles Medical, 54, 6, page (381-383)
Publication Publié, 1974
Article révisé par les pairs
Résumé : Psychomotor excitation is seen in precomatous states and in the first stages of coma. Three groups of psychomotor disturbances are distinguished in coma: one due to pain and discomfort, another showing confusion with disorientation and possibly hallucinations and a third due to physical and physiological discomfort. In all conditions treatment is primarily causative after the proper diagnosis has been established and psychomotor excitation will often give a diagnostic clue since it may point either to the primary lesion (intracranial hematoma for example) or to complications (dehydration, irritation of the larynx during intubation). Supportive drug treatment includes: phenothiazines, butyrophenones and benzodiazepines in precoma, analgesics in group 1 conditions, benzodiazepines, perphenazines and butyrophenones in the confusional and hallucinatory states and occasionally when indicated benzodiazepines and analgesics in patients with physical and physiological discomfort. (Vestergaard - Orangeburg - N.Y.)