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His or her sense of identity and personal history are defined by the collec tions and to suggest their disposal is nearly equivalent to suggesting a finger is amputated. Specic Causes of Structural Coma 121 Table four 1 Examples of Structural Causes of Coma Compressive Lesions Destructive Lesions Cerebral hemispheres Cerebral hemispheres Epidural and subdural hematomas, tumors, Hypoxia-ischemia and abscesses Hypoglycemia Subarachnoid hemorrhages, Vasculitis infections (meningitis), and tumors Encephalitis (leptomeningeal neoplasms)* Leukoencephalopathy Intracerebral hemorrhages, infarcts, tumors, Prion illnesses and abscesses Progressive multifocal leukoencephalopathy Diencephalon Diencephalon Basal ganglia hemorrhages, tumors, Thalamic infarct infarcts, and abscesses* Encephalitis Pituitary tumor Fatal familial insomnia Pineal tumor Paraneoplastic syndrome Tumor Brainstem Brainstem Cerebellar tumor Infarct Cerebellar hemorrhage Hemorrhage Cerebellar abscess Infection *Both compressive and destructive. Fatigue and sleep disturbance are current in a high proportion of cases; psychomotor disturbances are much much less widespread but are indicative of greater total severity, as is the presence of delusional or neardelusional guilt フィルデナ スーパーアクティブ 100mg 格安ライン.