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Nontraumatic coma in children and adolescents: Diagnosis and management

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
0733-8619
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
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), 1007-1043. (doi:10.1016/j.ncl.2011.07.011).

Record type: Review

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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More information

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
ORCID for Fenella J. Kirkham: ORCID iD orcid.org/0000-0002-2443-7958

Catalogue record

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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