STUDY OF AETIOLOGY AND CLINICAL OUTCOMES IN COMA PATIENTS WITH NORMAL BRAIN CT SCAN
English

Wuppala Santha Raja Ratnam, Malladi Srinivasa Rao
2018 Journal of Evolution of Medical and Dental Sciences  
BACKGROUND Coma is one of the common problems with which patients get admitted into the emergency department. Coma is a state of unconsciousness from which the patient cannot be awakened; it indicates either structural or functional abnormalities in the reticular activating system. In a significant number of cases CT scan can be normal if the coma is due to toxic or infections or metabolic abnormalities. Aim: The present study was undertaken to study the profile of coma patients with normal CT
more » ... can brain with respect to aetiology, coma scale and prognosis. MATERIALS AND METHODS It is a prospective observational study. 120 cases of coma patients with normal CT Brain admitted into the acute medical care unit, King George Hospital, Visakhapatnam were studied (from October 2006 to October 2008). RESULTS Of the 120 patients, males (57.5%) were found to be more common. Toxic causes (of which alcohol intoxication) and infectious aetiology (of which cerebral malaria) accounted for 75% of cases. Glasgow coma scale and duration of coma with respect to the prognosis were studied. CONCLUSION Coma with normal CT scan brain was more common in males. Majority of cases were due to toxic or infectious causes and metabolic causes are other common causes. Increased mortality was noted in uraemic encephalopathy, advanced age group, Glasgow coma scale 5 or less or duration of coma is more. KEY WORDS Coma, CT Scan, Reticular Activating System, Metabolic Causes, Glasgow Coma Scale. HOW TO CITE THIS ARTICLE: Ratnam WSR, Rao MS. Study of aetiology and clinical outcomes in coma patients with normal brain CT scan.
doi:10.14260/jemds/2018/727 fatcat:l5h5xy6iffeydegl7vp2slctii