Textbook

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COMA
Presented by : dr. Yuli Felistia
Supervisor : dr. Yusril, SpS

FACULTY OF MEDICINE SRIWIJAYA UNIVERSITY

MOH. HOESIN HOSPITAL PALEMBANG

Outline
Terminology
Neuroanatomic Basis of Consciousness
Causes of Coma
Diagnostic Approach to the Comatose Patient
Differential Diagnosis
Therapeutic Approach to Comatose Patient
Prognosis

COMA
is characterized by the total absence of arousal and of
awareness
Stevens RD., Bhardwaj A. Approach to the comatose patient. Crit Care Med.2006.

is a sleep-like state in which the patient makes no purposeful

response to the environment and from which he or she cannot
be aroused
Greenberg DA., Aminoff MJ., SimonRP. Clinical Neurology. 8th ed. 2012.Mc Graw-Hill.USA.

Cited from: Greenberg DA., Aminoff MJ., SimonRP. Clinical Neurology. 8 th ed.

Cited from:Posne JB., Saper CB., Schiff ND., Plum F. Plum and Posners Diagnosis of Stupor and Coma. 4 th ed.

Cited from: Stevens RD., Bhardwaj A. Approach to the comatose patient. Crit Care

Cited from: Stevens RD., Bhardwaj A. Approach to the comatose patient. Crit Care

Cited from: Wilkinson I., Lennox G., Essential Neurology. 4th ed. 2005. Blackwell.

Cited from: Lindsay KW., Bone I., Callander R. Neurology and Neurosurgery Illustrated. 3 rd ed. 1997. Livingstone.

Cited from: Stevens RD., Bhardwaj A. Approach to the comatose patient. Crit Care

Cited from: Stevens RD., Bhardwaj A. Approach to the comatose patient. Crit Care

Cited from: Wilkinson I., Lennox G., Essential Neurology. 4th ed. 2005. Blackwell.

Cited from: Lindsay KW., Bone I., Callander R. Neurology and Neurosurgery Illustrated. 3 rd ed. 1997. Livingstone.

Cited from: Lindsay KW., Bone I., Callander R. Neurology and Neurosurgery Illustrated. 3 rd ed. 1997. Livingstone.

Cited from: Lindsay KW., Bone I., Callander R. Neurology and Neurosurgery Illustrated. 3 rd ed. 1997. Livingstone.

Cited from: Lindsay KW., Bone I., Callander R. Neurology and Neurosurgery Illustrated. 3 rd ed. 1997. Livingstone.

Cited from: Stevens RD., Bhardwaj A. Approach to the comatose patient. Crit Care

Cited from: Corey-Bloom J., David RB. Clinical Adult Neurology. 3 rd ed. 2009.USA.

Cited from: Greenberg DA., Aminoff MJ., SimonRP. Clinical Neurology. 8 th ed.

Cited from: Ropper AH., Samuels MA., Klein JP. Adams and Victors Principles of Neurology. 10 th ed. 2014. Mc Graw

Cited from: Ropper AH., Samuels MA., Klein JP. Adams and Victors Principles of Neurology. 10 th ed. 2014. Mc Graw

Cited from: Ropper AH., Samuels MA., Klein JP. Adams and Victors Principles of Neurology. 10 th ed. 2014. Mc Graw

Cited from: Corey-Bloom J., David RB. Clinical Adult Neurology. 3 rd ed. 2009.USA.

Cited from: Corey-Bloom J., David RB. Clinical Adult Neurology. 3 rd ed. 2009.USA.

Cited from: Stevens RD., Bhardwaj A. Approach to the comatose patient. Crit Care

Prognosis
Non-traumatic coma tends to carry a better prognosis
Survival & quality of life are highly dependent upon the
etiology on nontraumatic coma
Neurologic status at the time of presentation appears to be
predictive of patient outcome in cases of nontraumatic
coma

Thank You

Cited from: Lindsay KW., Bone I., Callander R. Neurology and Neurosurgery Illustrated. 3 rd ed. 1997. Livingstone.

Cited from: Lindsay KW., Bone I., Callander R. Neurology and Neurosurgery Illustrated. 3 rd ed. 1997. Livingstone.

Cited from: Stevens RD., Bhardwaj A. Approach to the comatose patient. Crit Care

Cited from: Wilkinson I., Lennox G., Essential Neurology. 4th ed. 2005. Blackwell.

Cited from: Wilkinson I., Lennox G., Essential Neurology. 4th ed. 2005. Blackwell.