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Posttraumatic Epilepsy Epilepsy is the most common delayed sequela of craniocerebral trauma, with an overall incidence of about 5 percent in patients with closed head injuries and 50 percent in those who had sustained a compound skull fracture and wound of the brain. The basis is nearly always a contusion or laceration of the cortex. As one might expect, the risk of developing posttraumatic epilepsy is also related to the overall severity of the closed head injury. In a civilian cohort of 2747 head-injured patients described by Annegers and colleagues, the risk of seizures after severe head injury (loss of consciousness or amnesia for more than 24 h, including subdural hematoma and brain contusion) was 7 percent within 1 year and 11.5 percent in 5 years. If the injury was only moderate (unconsciousness or amnesia for 30 min to 24 h or caus-

practical and objective for the most part, give greater credence to the patient s behavior and reactions to overt stimuli than to what the patient says. For this reason they usually give the term consciousness its commonest and simplest operational meaning namely, the state of the patient s awareness of self and environment and his responsiveness to external stimulation and inner need. This narrow de nition has an advantage in that unconsciousness has the opposite meaning a state of unawareness of self and environment Table 17-1 Final diagnosis in 500 patients admitted to hospital with coma of unknown etiology Metabolic and other diffuse disorders Drug poisoning Anoxia or ischemia Hepatic encephalopathy Encephalomyelitis and encephalitis Subarachnoid hemorrhage Endocrine disorders (including diabetes) Acid-base disorders Temperature regulation Uremic encephalopathy Pulmonary disease Nutritional Nonspeci c metabolic coma Supratentorial mass lesions Intracerebral hematoma Subdural hematoma Cerebral infarct Brain tumor Brain abscess Epidural hematoma Thalamic infarct Pituitary apoplexy Closed head injury Subtentorial lesions Brainstem infarct Pontine hemorrhage Cerebellar hemorrhage Cerebellar tumor Cerebellar infarct Brainstem demyelination Cerebellar abscess Posterior fossa subdural hemorrhage Basilar migraine Psychiatric disorders 326 (65%) 149 87 17 14 13 12 12 9 8 3 1 1 101 (20%) 44 26 9 7 6 4 2 2 1 65 (13%) 40 11 5 3 2 1 1 1 1 8 (2%)

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Figure 44-1. The relationship of spinal segments and roots to the vertebral bodies and spinous processes. The cervical roots (except C8) exit through foramina above their respective vertebral bodies, and the other roots issue below these bodies. (From Haymaker and Woodhall: Peripheral Nerve Injuries, 2nd ed. Philadelphia, Saunders, 1953, by permission.)

Figure 3-28. Aquarius, the water-bearer, traverses the northwestern sky on spring evenings in the southern hemisphere.

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The playlist s name An integer giving the total length of the playlist (including all tracks) in seconds. This property is read-only. If the playlist is stored in a folder, the folder s name. This property is read-only. If the playlist is stored at the top level rather than in a folder, checking this property returns error 1728 ( Can t get parent of playlist ). true to play the songs in random order, false to play them in the order in which they re currently sorted. A double integer giving the size of the playlist (including all tracks) in bytes for example, 4.346414914E+9. This property is read-only. Whether the songs are set to repeat all (all), repeat one song (one), or not repeat (off) A read-only property that indicates whether the playlist is a special one: none for a normal playlist; Audiobooks, folder for a playlist folder; Movies, Music, Party Shuffle (for the iPod DJ feature, which used to be called Party Shuffle); Podcasts; Purchased Music; TV Shows; or Videos The playlist s length (including all songs) in MM:SS format for example, 15:13:29 for a chunky playlist true if the playlist appears in the Source list, false if it is hidden. This property is read-only.

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