Unresponsive to Pain Stimuli: Causes & Reasons

Possible Causes for Unresponsive to Pain Stimuli

[…] often remarkably unresponsive to usually painful stimuli, particularly as more commonly applied using sternal or nail bed pressure. [ncbi.nlm.nih.gov]

[…] to painful stimuli Intact reflexes in the extremities Irregular patterns of breathing A detailed clinical history is usually gathered from a reliable informant or a close [symptoma.com]

This damage results in unconsciousness, an inability to awake, and unresponsiveness to stimuli such as pain, sound, and light. [healthline.com]

Locked-in Syndrome

[…] to painful stimuli (inability to withdraw an extremity from painful stimuli). [medicinenet.com]

[…] global except for vertical eye movements and blinking A coma -like condition (pseudocoma) where the patient only can respond or communicate with others by eye movements Unresponsiveness [medicinenet.com]

[…] to painful stimuli (inability to withdraw an extremity from painful stimuli) No horizontal eye movements Cannot consciously chew food, swallow, breathe, speak, or move voluntary [medicinenet.com]

Brain Stem Herniation

At 6pm the patient became stuporous and unresponsive to voice and painful stimuli. [omicsonline.org]

During the entire time, his vital signs were stable, his extremities were warm and well-perfused and he responded to painful stimuli. [omicsonline.org]

Encephalopathy

Patient becomes unresponsive to pain stimuli. Risks and symptoms of hepatic encephalopathy The liver’s main role is to filter out toxins from the body. [belmarrahealth.com]

Cerebral Hemorrhage

This can be accomplished using the AVPU method: A=patient is alert, V=responsive to verbal stimuli, P=responsive to painful stimuli, U=unresponsive. 2,5,16–18 This can also [emsworld.com]

Vegetative State

[…] tested with painful stimuli). [healthcare.findlaw.com]

[…] patients remain completely unresponsive to even severe stimuli). [house.wikia.com]

Absence of Brainstem Reflexes: Patient should be unresponsive to stimuli that otherwise would trigger an involuntary response (such as dilation of the pupils in the presence [healthcare.findlaw.com]

Head Trauma

Septic cavernous sinus thrombosis (SCST) is an uncommon consequence of head and face infection, but a rare complication after craniofacial fracture. In this case, SCST developed in a 13-year-old girl following a minor fall during volleyball, with impact and resulting abrasive contusion of the left forehead. She[…] [ncbi.nlm.nih.gov]

Epilepsy with Generalized Tonic-Clonic Seizures

Definition (MSH) A generalized seizure disorder characterized by recurrent major motor seizures. The initial brief tonic phase is marked by trunk flexion followed by diffuse extension of the trunk and extremities. The clonic phase features rhythmic flexor contractions of the trunk and limbs, pupillary dilation,[…] [fpnotebook.com]

Subarachnoid Hemorrhage

Subarachnoid hemorrhage (SAH) is a life-threatening condition that refers to bleeding into the subarachnoid space. Most cases are attributed to a ruptured aneurysm. Additionally, there are risk factors such as hypertension, atherosclerosis, smoking, and other conditions as well. Up to 50% of patients with SAH[…] [symptoma.com]

Postictal State

Epilepsy Behav. 2010 Oct;19(2):146-50. doi: 10.1016/j.yebeh.2010.06.022. Epub 2010 Aug 14. Author information 1 Columbia Comprehensive Epilepsy Center, New York, NY 10032, USA. cwb11@columbia.edu Abstract The postictal state can be particularly confusing when occurring in association with sleep. Some seizures tend to occur[…] [ncbi.nlm.nih.gov]

Quadriplegia

The authors report a case of slowly progressive HIV in an 11-year-old boy whose initial presenting AIDS-defining symptom was progressive quadriplegia with complete cord compression and pathological confirmation of Epstein-Barr virus associated smooth muscle tumour. Despite tumour removal, quadriplegia persisted as[…] [ncbi.nlm.nih.gov]

Brain Death

[…] to painful stimuli. [deathreference.com]

He or she will be completely unresponsive to any stimuli, including deep pain. [journals.lww.com]

[…] tested with painful stimuli). [healthcare.findlaw.com]

Complete Locked-in Syndrome

Patient was unresponsive to painful stimuli. Light reflex, oculocephalic reflex, oculovestibular reflex, deep tendon reflexes and superficial reflexes were absent. [japi.org]

Colchicine Poisoning

On physical examination she was unresponsive to painful stimuli, skin was cool and dry, and pupils were midposition and not reactive. [calpoison.org]

Hepatic Encephalopathy

Patient becomes unresponsive to pain stimuli. Risks and symptoms of hepatic encephalopathy The liver’s main role is to filter out toxins from the body. [belmarrahealth.com]

Grade 4: Coma: when the person is unconscious and unresponsive to painful stimuli. There is a high mortality rate for people who go into a coma. [liver.ca]

+3 Comatose, unresponsive to pain; decorticate or decerebrate posturing +4 Result: Please fill out required fields. [mdcalc.com]

Nicotine Poisoning

On examination at the Emergency Department (ED), the patient remained unconscious and unresponsive to painful stimuli. [doi.org]

The pupils were dilated and unresponsive. There were no localizing signs on neurological exam. There was no muscle fasciculation. [doi.org]

Sepsis-Associated Encephalopathy

Altered mental status Consider the following case seen recently at Janus General: An 89 year old man is brought to the ED unresponsive to painful stimuli. [emdocs.net]

Acquired Adrenogenital Syndrome

To Pain Stimuli, Unresponsive To Verbal Stimuli, Unwanted Pregnancy, Upper Gastrointestinal Haemorrhage, Upper Limb Fracture, Upper Motor Neurone Lesion, Upper Respiratory [bonkersinstitute.org]

Tract Infection, Upper Respiratory Tract Infection Bacterial, Upper Respiratory Tract Inflammation, Ureteric Obstruction, Urethral Pain, Urinary Bladder Haemorrhage, Urinary [bonkersinstitute.org]

Ultrasound Bladder Abnormal, Umbilical Cord Abnormality, Umbilical Cord Vascular Disorder, Unevaluable Event, Unexpected Therapeutic Drug Effect, Unintended Pregnancy, Unresponsive [bonkersinstitute.org]

Spondylitic Aortitis

To Pain Stimuli, Unresponsive To Stimuli, Unresponsive To Verbal Stimuli, Upper Limb Fracture, Upper Respiratory Tract Infection, Urethral Stricture, Urethritis, Urinary [bonkersinstitute.org]

Ulcerative Keratitis, Ulna Fracture, Ulnar Nerve Palsy, Underdose, Underweight, Unemployment, Unevaluable Event, Unexpected Therapeutic Drug Effect, Unintended Pregnancy, Unresponsive [bonkersinstitute.org]

Conversion Disorder

painful stimuli after receiving a general anesthetic for upper endoscopy. [ncbi.nlm.nih.gov]

CASE REPORT We describe a case of a 13-year-old female who presented in the post-anesthesia care unit with acute-onset inspiratory stridor and unresponsiveness to verbal or [ncbi.nlm.nih.gov]

Tumor Lysis Syndrome

She is unresponsive to painful stimuli. [ems1.com]

Labor and Delivery Complication

This damage results in unconsciousness, an inability to awake, and unresponsiveness to stimuli such as pain, sound, and light. [healthline.com]

The person’s eyes will be closed and they’ll appear to be unresponsive to their environment. [brainfoundation.org.au]

They won’t normally respond to sound or pain, or be able to communicate or move voluntarily. [brainfoundation.org.au]

Subacute Adenoviral Encephalitis

Several hours after admission, the patient lapsed into a coma, becoming unresponsive to verbal commands and painful stimuli. [ajnr.org]

Penetrating Wound

A simple scale to use is the AVPU scale ( alert, responsive to verbal stimuli, responsive to painful stimuli, or unresponsive ). [medictests.com]

Catatonia

[…] and only responds to intense stimuli such as pain.[1] The word derives from the Latin stupor ("numbness, insensibility").[2] Signs and symptoms[edit] Stupor is characterised [en.wikipedia.org]

[…] only to pain or visual stimuli. [verywellmind.com]

[…] patient in catatonic stupor Specialty Psychiatry Stupor is the lack of critical mental function and a level of consciousness wherein an affected person is almost entirely unresponsive [en.wikipedia.org]

Clonidine Poisoning

Although it may be a subtle finding, patients with clonidine overdose are more likely to respond transiently to painful stimuli before falling back to a state of unresponsiveness [epmonthly.com]

Meningitis

A child with any clinical signs of raised intracranial pressure (e.g. very bulging fontanelle, unresponsiveness to painful stimuli or papilloedema) or of over hydration (e.g [rch.org.au]

Alcohol-Induced Hypoglycemia

She withdrew all extremities to painful stimuli, and had no clonus and no meningismus. [intjem.springeropen.com]

He responded to sternal rub with moaning and moved all his extremities to painful stimuli. He smelled of sweet alcohol and did not answer questions. [intjem.springeropen.com]

Examination revealed a well-nourished, hemodynamically stable (temperature 37°C, pulse 113, blood pressure 152/98, oxygen saturation 95% room air), non-toxic, unresponsive [intjem.springeropen.com]

Reye Syndrome

A simpler method is the AVPU scale (A=alert, V=responds to verbal stimuli, P=responds to painful stimuli, U=unresponsive). [web.archive.org]

A simpler method is the AVPU scale (A=Alert, V=responds to Verbal stimuli, P=responds to Painful stimuli, U=Unresponsive). [hawaii.edu]

Grade 2=No response to commands, but purposeful responses to pain are elicited. Grade 3=Non-purposeful responses to pain (e.g., sternal rub). [web.archive.org]

Acute Alcohol Intoxication

Perform a sensory examination by assessing the patient’s response to painful stimuli and check for autonomic evidence of sympathetic stimulation. [medical-dictionary.thefreedictionary.com]

Alcohol intoxication is associated with central nervous system depression including unresponsiveness, hypothermia, and loss of gross motor control (ataxia, slurred speech) [medical-dictionary.thefreedictionary.com]