The comatose patients with pontine hemorrhage of diameter greater than 2 cm have poor prognosis. A 59-year-old male was brought Glasgow coma scale (GCS) score E2M5V2. He mechanically ventilated. Magnetic resonance imaging (MRI) showed a hematoma, size 3 cm. improved. outcome (GOS) five. 57-year-old GCS E1M3V1. MRI scan hematoma 2.8 His GOS three at 6 months. This is report two survived cases la...

Neurocritical care patients are at risk of developing secondary brain injury from inflammation, ischemia, and edema that follows the primary insult. Recognizing clinical deterioration due to secondary injury is frequently challenging in comatose patients. Multimodality monitoring (MMM) encompasses various tools to monitor cerebral metabolism, perfusion, and oxygenation aimed at detecting these ...

OBJECTIVE This study was designed to determine the prevalence of rhythmic coma patterns in comatose children and to ascertain the prognostic significance of reactive rhythmic coma patterns. METHODS We retrospectively analyzed and classified electroencephalogram (EEGs) in comatose children between two months and 18 years of age during the period 1996 - 2003 according to modified Young's classi...

This paper reviews the etiology and management of neuropathologic chewing in 16 comatose children. These patients exhibited ruminant chewing and bruxism that often resulted in self-inflicted oral soft tissue trauma. The success of using various dental appliances was found to be associated with the neurologic status of these patients. Variables such as etiology, depth and duration of coma, and a...