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Research Article Open access CC BY 4.0

Non-Traumatic Coma in Children- A Review

Manda Anusha, Avirendla Sony, Syeda Mohammadi Begum, Velupula Neelima, Amatul Haseeb Maseera

Asian Journal of Pediatric Research · pp. 76–81 · Published 3 Aug 2023

10.9734/ajpr/2023/v13i2266

Abstract

Coma is defined as the unintentional failure of the patient to open their eyes spontaneously or in response to noise and inability to open for commands or localised painful stimuli with or without the ability to express comprehensible words or language response, whereas the Non traumatic coma is without any injury to the brain, and the Glasgow coma scale below 12. The Non traumatic coma causes due to the infections(tubercular meningitis, bacterial meningitis, encephalitis) and other metabolic conditions ,status epilepticus intracranial bleed, miscellaneous, hypoxic ischemic insults, Electrical shock, shunt dysfunction, Inborn error of metabolism. The monitoring parameters are Heart rate, Respiratory rate and pattern, Blood pressure, Temperature, coma severity using GCS, pupillary size, extra ocular movements, corneal reflex, posture, and motor pattern. The main symptoms are ataxia or weakness, isolated cranial nerve palsy, mild alteration of tone, poor pulse volume, apnea, abnormal pupillary size and reaction, dizziness, Headache, abnormal extra ocular movements absent corneal reflex. Management of non-traumatic coma patients at hospital includes Monitoring of Intracranial pressure, Maintenance of an adequate cerebral perfusion pressure, Management of persistent intracranial hypertension and Monitoring of Electroencephalographic Seizure activity. Infections are the most common cause for the non-traumatic coma in several cases. The pattern of infectious caused are CNS infections > metabolic toxic exposure > encephalitis > Intoxication > hypoxic ischemic insults > Intracranial haemorrhages>miscellaneous>unknown cases. 40% of children are prone to Non traumatic coma per 10000 general population per year.

Non traumatic coma etiology symptoms children

References (25)

  1. 1 The cochrane database of systematic reviews [DOI]
  2. 2 Canadian Institute for Health Information.
  3. 3 Prevalence of nonconvulsive status epilepticus in comatose patients [DOI]
  4. 4 CLINICAL ASPECTS OF UNCOMPLICATED AND SEVERE MALARIA [DOI]
  5. 5 Pediatric Post–Cardiac Arrest Care: A Scientific Statement From the American Heart Association [DOI]
  6. 6 Intracranial pressure monitoring: Gold standard and recent innovations [DOI]
  7. 7 Sequelae due to bacterial meningitis among African children: a systematic literature review [DOI]
  8. 8 A review of the incidence and prevalence, types and aetiology of childhood cerebral palsy in resource-poor settings [DOI]
  9. 9 Seizures in 204 comatose children: incidence and outcome [DOI]
  10. 10 Randomized Controlled Trial Comparing Cerebral Perfusion Pressure–Targeted Therapy Versus Intracranial Pressure–Targeted Therapy for Raised Intracranial Pressure due to Acute CNS Infections in Children* [DOI]
  11. 11 Epilepsy after cerebral infection: review of the literature and the potential for surgery [DOI]
  12. 12 Analysis of Fulminant Cerebral Edema in Acute Pediatric Encephalitis [DOI]
  13. 13 Neuropsychological assessment through Coma Recovery Scale-Revised and Coma/Near Coma Scale in a sample of pediatric patients with disorder of consciousness [DOI]
  14. 14 Non-traumatic coma in children [DOI]
  15. 15 Nontraumatic Coma in a Tertiary Pediatric Emergency Department in Egypt: Etiology and Outcome [DOI]
  16. 16 Modifications of Glasgow Coma Scale—a Systematic Review [DOI]
  17. 17 Tuberculous Meningitis in Children: Clinical Features and Outcome in 40 Cases [DOI]
  18. 18 What is the optimal cerebral perfusion pressure in children suffering from traumatic coma? [DOI]
  19. 19 Role of Glasgow Coma Scale in pediatric nontraumatic coma.
  20. 20 Etiology and Outcome of Non-traumatic Coma in Children Admitted to Pediatric Intensive Care Unit
  21. 21 Fluid therapy of acute brain edema in children [DOI]
  22. 22 A Lateral Mass Fracture of C1 Associated With Left Vertebral Artery and Mid-Basilar Artery Occlusion [DOI]
  23. 23 NON–TRAUMATIC COMA IN CHILDREN: CLINICAL PROFILE AND OUTCOME [DOI]
  24. 24 Mediterranean Journal of Hematology and Infectious Diseases [DOI]
  25. 25 Fluid therapy for acute bacterial meningitis [DOI]

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