Document Detail

Approach to the child with coma.
MedLine Citation:
PMID:  20830533     Owner:  NLM     Status:  MEDLINE    
Coma and other states of impaired consciousness represent a medical emergency. The potential causes are numerous, and the critical window for diagnosis and effective intervention is often short. The common causes of non-traumatic coma include central nervous system infections, metabolic encephalopathy (hepatic, uremic, diabetic ketoacidosis etc.), intracranial bleed, stroke and status epilepticus. The basic principles of management include 1) Rapid assessment and stabilization, 2) Focussed clinical evaluation to assess depth of coma, localization of lesion in the central nervous system and possible clues to etiology, and 3) Treatment including general and specific measures. Commonly associated problems such as raised intracranial pressure and seizures must be recognized and managed to prevent secondary neurologic injury.
Suvasini Sharma; Gurpreet Singh Kochar; Naveen Sankhyan; Sheffali Gulati
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Publication Detail:
Type:  Journal Article     Date:  2010-09-10
Journal Detail:
Title:  Indian journal of pediatrics     Volume:  77     ISSN:  0973-7693     ISO Abbreviation:  Indian J Pediatr     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-24     Completed Date:  2011-03-17     Revised Date:  2011-08-24    
Medline Journal Info:
Nlm Unique ID:  0417442     Medline TA:  Indian J Pediatr     Country:  India    
Other Details:
Languages:  eng     Pagination:  1279-87     Citation Subset:  IM    
Department of Pediatrics, Child Neurology Division, All India Institute of Medical Sciences, New Delhi, 110029, India.
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MeSH Terms
Central Nervous System Infections / complications
Clinical Protocols
Coma / diagnosis*,  etiology,  therapy*
Encephalocele / complications,  diagnosis
Intensive Care Units, Pediatric
Intracranial Pressure
Neurologic Examination
Terminology as Topic
Comment In:
Indian J Pediatr. 2011 Jul;78(7):890-1   [PMID:  21404016 ]

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