Abstract
The apalic syndrome is a manifestation of brain function disintegration with disconnection of the brain cortex and the brain stem. If in volves affection of the mesencephalon with coma vigile and corresponding neurological findings.
It is one of the most important consequences found in critically ill children treated in PICU. Its etiology includes severe craniocerebral injury (the most frequent cause), diffuse hypoxic brain affection and situations after severe intoxications and neuroinfections.
Patients with apalic syndrome should be given comprehensive therapeutic and diagnostic care. Department of intensive care, neurologists, physiotherapists, logopedists and other experts take part in treatment of these patients.
Cooperation with family members and the presence of a close person is also very important. Subsequent treatment in a spa and ambulatory rehabilitation are essential.
Based on careful observation the optimal timing for rehabilitation, and appropriate physical and mental burdening are selected.