coma - part 2
DESCRIPTION
www.medicinemcq.comTRANSCRIPT
![Page 1: Coma - Part 2](https://reader036.vdocuments.us/reader036/viewer/2022082811/558e52e81a28ab490a8b468c/html5/thumbnails/1.jpg)
www.medicinemcq.com
1
Coma – part 2
Coma like states
![Page 2: Coma - Part 2](https://reader036.vdocuments.us/reader036/viewer/2022082811/558e52e81a28ab490a8b468c/html5/thumbnails/2.jpg)
www.medicinemcq.com
2
Vegetative state
Awake but unresponsive state Respiratory and autonomic functions
retained “Awake coma“
Eyelids open Yawning, grunting, swallowing, limb and
head movements persist
![Page 3: Coma - Part 2](https://reader036.vdocuments.us/reader036/viewer/2022082811/558e52e81a28ab490a8b468c/html5/thumbnails/3.jpg)
www.medicinemcq.com
3
Vegetative state
Most common causes Cardiac arrest Head injuries
![Page 4: Coma - Part 2](https://reader036.vdocuments.us/reader036/viewer/2022082811/558e52e81a28ab490a8b468c/html5/thumbnails/4.jpg)
www.medicinemcq.com
4
Akinetic mutism
Partially or fully awake Immobile Unable to speak Can think Site of lesion
Medial thalamic nuclei or the frontal lobes Hydrocephalus
![Page 5: Coma - Part 2](https://reader036.vdocuments.us/reader036/viewer/2022082811/558e52e81a28ab490a8b468c/html5/thumbnails/5.jpg)
5
Abulia
Mild form of akinetic mutism Mental and physical slowness
Anatomical lesions Same as in akinetic mutism
www.medicinemcq.com
![Page 6: Coma - Part 2](https://reader036.vdocuments.us/reader036/viewer/2022082811/558e52e81a28ab490a8b468c/html5/thumbnails/6.jpg)
www.medicinemcq.com
6
Catatonia
Major psychosis No brain damage
No voluntary or responsive movements Eyelid elevation
Actively resisted Blinking
Occurs in response to a visual threat
![Page 7: Coma - Part 2](https://reader036.vdocuments.us/reader036/viewer/2022082811/558e52e81a28ab490a8b468c/html5/thumbnails/7.jpg)
7
“ Waxy flexibility”
Catalepsy Limbs retain bizarre posture in which they
have been placed by the examiner
For rest of the slides, visit www.medicinemcq.com > Neurology