Document Detail

Reversible coma with prolonged absence of pupillary and brainstem reflexes: an unusual response to a hypoxic-ischemic event in MS.
MedLine Citation:
PMID:  3399078     Owner:  NLM     Status:  MEDLINE    
A quadriparetic man with multiple sclerosis became comatose with absent pupillary and brainstem reflexes for 48 hours following a respiratory arrest. A periodic electroencephalographic pattern was recorded 12 hours after arrest suggesting a poor prognosis. Despite the poor prognostic signs, clinical recovery to baseline occurred within 2 weeks. Reversible coma with absent pupillary and brainstem reflexes may occur in MS patients for prolonged periods and lead to potential errors in prognosis if not recognized.
R A Ringel; J E Riggs; J F Brick
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurology     Volume:  38     ISSN:  0028-3878     ISO Abbreviation:  Neurology     Publication Date:  1988 Aug 
Date Detail:
Created Date:  1988-08-30     Completed Date:  1988-08-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1275-8     Citation Subset:  AIM; IM    
Department of Neurology, West Virginia University School of Medicine, Morgantown 26506.
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MeSH Terms
Brain Ischemia / complications,  physiopathology
Brain Stem / physiopathology*
Coma / etiology,  physiopathology*
Hypoxia, Brain / complications,  physiopathology
Middle Aged
Multiple Sclerosis / complications,  physiopathology*
Reflex, Pupillary*

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