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141 Possible Causes for Coma, Fluctuating Level of Consciousness

  • Cerebral Edema

    We report a 48-year-old woman who developed convulsive seizures and cerebral atrophy after recovery from fulminant hepatitis B with coma and cerebral edema at the acute stage[ncbi.nlm.nih.gov] level of consciousness, sustained heart rate deceleration (decrease more than 20 beats per minute) not attributable to improved hydration or sleep, age-inappropriate incontinence[childrensmercy.org] However, coma is a rare presentation and is usually secondary to complications such as subarachnoid hemorrhage, seizure, or ischemia.[ncbi.nlm.nih.gov]

  • Hepatic Encephalopathy

    Hyperammonemia can also result in postoperative coma; however, it is rarely recognized as a potential cause in coma patients.[ncbi.nlm.nih.gov] Symptoms: changes in mental state, consciousness, behavior, personality forgetfulness confusion, disorientation delirium (acute, severe confusion with fluctuating level of[hepatitiscentral.com] Avoid NIV; abdominal distension and a fluctuating level of consciousness will likely result in aspiration. HFNP is ok.[derangedphysiology.com]

  • Subdural Hematoma

    Possible complications include: Brain herniation (severe pressure on the brain that causes coma or death) Permanent brain damage Persistent symptoms or seizures If symptoms[sharecare.com] Other signs and symptoms of subdural hematoma include the following: A history of recent head injury Loss of consciousness or fluctuating levels of consciousness Irritability[neurolaw.com] Mental status changes can present as dementia, mild confusion, and various levels of decreased consciousness, including obtundation. 19,57,62 A recent retrospective analysis[ahcmedia.com]

  • Subarachnoid Hemorrhage

    The administration of midodrine relieved the hypotension, and postprandial coma was no longer observed.[ncbi.nlm.nih.gov] In the ED, she also develops nausea and vomiting with a fluctuating level of consciousness. A CT scan of her head is obtained and shown in Figure A.[step2.medbullets.com] The objective of this study is to compare the predictive values of simplified acute physiology score (SAPS) 3, sequential organ failure assessment (SOFA), and Glasgow Coma[ncbi.nlm.nih.gov]

  • Cerebral Thrombotic Thrombocytopenic Purpura

    Coma in thrombotic thrombocytopenic purpura FIONA E KELLY , DAVID F TREACHER Department of Intensive Care Departments of Haematology and Rheumatology Department of Neurology[jnnp.bmj.com] levels of consciousness and evanescent focal neurological deficits.[ispub.com] […] mental status and level of consciousness.[epilepsy.com]

  • Heat Stroke

    In addition, pulmonary edema, coma, hypotension, and hyperpyrexia occurred.[ncbi.nlm.nih.gov] Heat stroke is a life-threatening condition which is characterised by nausea, vomiting, confusion, disorientation and coma.[ncbi.nlm.nih.gov] Although he was in a coma with convulsions on arrival and developed multiorgan failure, he recovered after two weeks of successful treatments.[ncbi.nlm.nih.gov]

  • Epidural Hematoma

    We reported a 79-year-old female with coma after traumatic brain injury (TBI). The epidural hematoma was first diagnosed on non-contrast computerized tomography (CT).[ncbi.nlm.nih.gov] The level of consciousness and coma in an acutely head injured patient is often described by clinicians with the Glasgow Coma Scale .[nervous-system-diseases.com] Anticoagulants and Glasgow Coma Scale score at admission had no significant impact on the outcome.[ncbi.nlm.nih.gov]

  • Ornithine Transcarbamylase Deficiency

    Psychosis and coma are rare.[ncbi.nlm.nih.gov] We highlight the need to consider hyperammonaemia in the differential diagnosis of coma.[ncbi.nlm.nih.gov] In adult heterozygous patients, OTCD can be responsible for life-threatening hyperammonemic coma.[ncbi.nlm.nih.gov]

  • Encephalopathy

    […] expires November 27, 2020 Overview In this article, the authors discuss the commonly encountered clinical scenarios associated with metabolic encephalopathy and metabolic coma[medlink.com] Symptoms: changes in mental state, consciousness, behavior, personality forgetfulness confusion, disorientation delirium (acute, severe confusion with fluctuating level of[hepatitiscentral.com] […] secondary to the use of valproate is rare without evidence of hepatotoxicity, and it usually presents with confusion, agitation, irritability, cognitive disturbances, lethargy, coma[ncbi.nlm.nih.gov]

  • Metabolic Encephalopathy

    […] expires November 27, 2020 Overview In this article, the authors discuss the commonly encountered clinical scenarios associated with metabolic encephalopathy and metabolic coma[medlink.com] level of consciousness.[shmabstracts.com] Derangements in systemic metabolism are probably the most frequent cause of coma of unknown etiology. Within this group, coma due to liver failure is common.[ncbi.nlm.nih.gov]

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