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With severe degrees of injury, the cerebral and cerebellar cortices and parts of the thalami are partly or completely destroyed but the brainstem-spinal structures survive Tragically, the individual may survive for an inde nite period in a state that is variously referred to as cortical death, irreversible coma, or persistent vegetative state (see page 304) Some patients remain mute, unresponsive, and unaware of their environment for weeks, months, or years Long survival is usually attended by some degree of improvement, but the patient appears to know nothing of his present situation and to have lost all past memories, power of reasoning, and capacity for meaningful social interaction and independent existence (a so-called minimally responsive state, actually a severe dementia, page 305) One has only to observe such patients and their families to appreciate the gravity of the problem, the family s anguish, and the tremendous expense of medical care.

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Hypertensive encephalopathy is the term applied to a relatively rapidly evolving syndrome of severe hypertension in association with headache, nausea and vomiting, visual disturbances, confusion, and in advanced cases stupor and coma. Multiple seizures are frequent and may be more marked on one side of the body than the other. These symptoms of diffuse cerebral disturbance may be accompanied by focal or lateralizing neurologic signs, either transitory or lasting, which should always suggest cerebral hemorrhage or infarction, i.e., the more common cerebrovascular complications of severe chronic hypertension. A clustering of multiple microinfarcts and petechial hemorrhages (the basic neuropathologic changes in hypertensive encephalopathy) in one region may rarely result in a mild hemiparesis, aphasic disorder, or rapid failure of vision. By the time the neurologic manifestations appear, the hypertension has usually reached the malignant stage, with diastolic pressures above 125 mmHg, retinal hemorrhages, exudates, papilledema (hypertensive retinopathy grade IV), and evidence of renal and cardiac disease. However, instances of encephalopathy at lower pressures are common, especially if the hypertension has been abrupt in onset (see below). The term hypertensive encephalopathy should be reserved for the above syndrome and should not be used to refer to chronic recurrent headaches, dizziness, epileptic seizures, TIAs, or strokes, which often occur in association with high blood pressure. Hypertensive encephalopathy may complicate hypertension from any cause (chronic renal disease, renal artery stenosis, acute glomerulonephritis, acute toxemia, pheochromocytoma, Cushing syndrome), cocaine, or administration of drugs such as amino-

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86. What is the property of the SaveFileDialog class whose value is the name of the file to be saved 87. What class may you use to read from a text file 88. What class may you use to write to a text file 89. What is a data provider 90. What is a table 91. What may each column in a table also be called 92. What may each row in a table also be called 93. What is ADO.NET 94. What is a DataSet 95. What is ASP.NET 96. What is a URL 97. What is HTTP 98. What is the difference between a virtual and a physical path to a web page 99. What is the method of the HttpServerUtility class that returns the physical file path that corresponds to (is mapped to) the specified virtual path on a web server 100. What is the name of the class that is the web application equivalent of the Form class in a Windows application

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