Nontraumatic coma in children and adolescents: Diagnosis and management
Nontraumatic coma in children and adolescents: Diagnosis and management
The causes of nontraumatic coma (NTC) vary by country, season and period of data collection. Infective diseases are among the major worldwide causes of NTC. Nonaccidental head injury must be in the differential diagnosis. Genetic and ethnic susceptibilities to causes of coma are being recognized. A systematic history and examination are essential for diagnosis, early recognition of herniation syndromes, and management. The management of NTC is discussed, with reference to clinical approach, treatment of seizures, and increased intracranial pressure. Public health measures, education, early diagnosis, and prompt appropriate treatment are the foundations needed to reduce incidence and improve outcome.
Adolescents, Causes, Children, Coma, Increased intracranial pressure, Management, Nontraumatic
1007-1043
Seshia, Shashi S.
7857fe42-cee0-4a3a-8a57-5827d821e1e1
Bingham, William T.
3e7431e6-06cd-4364-9d63-fb958fd78c33
Kirkham, Fenella J.
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58
Sadanand, Venkatraman
4fba6142-40d5-48a7-a7c3-7074617eb5e9
November 2011
Seshia, Shashi S.
7857fe42-cee0-4a3a-8a57-5827d821e1e1
Bingham, William T.
3e7431e6-06cd-4364-9d63-fb958fd78c33
Kirkham, Fenella J.
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58
Sadanand, Venkatraman
4fba6142-40d5-48a7-a7c3-7074617eb5e9
Seshia, Shashi S., Bingham, William T., Kirkham, Fenella J. and Sadanand, Venkatraman
(2011)
Nontraumatic coma in children and adolescents: Diagnosis and management.
Neurologic Clinics, 29 (4), .
(doi:10.1016/j.ncl.2011.07.011).
Abstract
The causes of nontraumatic coma (NTC) vary by country, season and period of data collection. Infective diseases are among the major worldwide causes of NTC. Nonaccidental head injury must be in the differential diagnosis. Genetic and ethnic susceptibilities to causes of coma are being recognized. A systematic history and examination are essential for diagnosis, early recognition of herniation syndromes, and management. The management of NTC is discussed, with reference to clinical approach, treatment of seizures, and increased intracranial pressure. Public health measures, education, early diagnosis, and prompt appropriate treatment are the foundations needed to reduce incidence and improve outcome.
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e-pub ahead of print date: 25 October 2011
Published date: November 2011
Keywords:
Adolescents, Causes, Children, Coma, Increased intracranial pressure, Management, Nontraumatic
Identifiers
Local EPrints ID: 429226
URI: http://eprints.soton.ac.uk/id/eprint/429226
ISSN: 0733-8619
PURE UUID: e2fc5553-8504-4cdd-a236-e1bd6dfa621f
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Date deposited: 22 Mar 2019 17:30
Last modified: 18 Mar 2024 02:54
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Contributors
Author:
Shashi S. Seshia
Author:
William T. Bingham
Author:
Venkatraman Sadanand
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