Assessment of coma

Evidence-based neurology checklist on assessment of coma: Clinical features Unarousable unresponsiveness Absent sleep-wake cycles The eyes are usually closed but there may be slow eye-opening Central neurological examination Peripheral neurological examination Come severity scales Investigations

Clinical features

  • Unarousable unresponsiveness
  • Absent sleep-wake cycles
  • The eyes are usually closed but there may be slow eye-opening

Central neurological examination

Peripheral neurological examination

Come severity scales

Investigations

References

  1. Kondziella D, Bender A, Diserens K, EAN Panel on Coma, Disorders of Consciousness. European Academy of Neurology guideline on the diagnosis of coma and other disorders of consciousness. Eur J Neurol 2020; 27:741-756.
  2. Kondziella D, Frontera JA. Pearls & Oy-sters: Eyes-open coma. Neurology 2021; 96:864-867.
  3. Bateman DE. Neurological assessment of coma. JNNP 2001; 71 Suppl 1(Suppl 1):i13-i17.

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