374.4 ð ç« æ«éèš Summary
374.4.1 ð äžå¥è©±çžœçµ
Coma = pathological unconsciousness â eyes closed + unaware + unarousable + no purposeful movement; consciousness requires arousal (brainstem RAS) + awareness (cerebral cortex); spectrum alert â confused â drowsy â stuporous â coma; persistent disorders â vegetative state (UWS â unresponsive wakefulness syndrome, eyes open + sleep-wake + no awareness, persistent 1 mo â permanent 3 mo non-traumatic/12 mo traumatic) vs minimally conscious state (MCS â inconsistent awareness, better prognosis) vs locked-in syndrome (ventral pontine lesion often basilar artery occlusion â quadriplegic + anarthric + AWAKE/AWARE + preserved vertical eye movements + blinking); two anatomic causes â (1) bilateral cerebral hemispheric dysfunction (most common â toxic/metabolic >> structural) including drugs (opioids/BZDs/alcohol/sedatives), hypoglycemia, hyperglycemia (HHS, DKA), hyponatremia/hypernatremia/Ca/Mg, hypothyroid (myxedema)/thyroid storm, adrenal insufficiency, hepatic encephalopathy (asterixis + triphasic EEG), uremia, hypoxia, hypercapnia (CO2 narcosis), hypothermia/hyperthermia, sepsis, Wernicke (thiamine), post-anoxic, meningitis/encephalitis, seizure/post-ictal, bilateral structural (large strokes, SAH, DAI, PRES); (2) brainstem RAS dysfunction at midbrain/pons/upper medulla â pontine hemorrhage + basilar artery infarct + brainstem tumor + central pontine myelinolysis + posterior fossa mass compression; Glasgow Coma Scale (GCS) = E (1-4) + V (1-5) + M (1-6) = 3-15, GCS †8 consider intubation; pupils critical â bilateral pinpoint reactive = pontine hemorrhage OR opioids OR organophosphate, mid-position fixed = midbrain, bilateral fixed dilated = anoxia/atropine/brain death/late herniation, unilateral fixed dilated = CN III compression (uncal herniation, PCA aneurysm), metabolic mostly preserved reactivity; eye movements â oculocephalic (dollâs eyes) present in coma = intact brainstem (DO NOT perform if cervical injury); oculovestibular (cold calorics) more sensitive â eyes deviate TOWARD cold ear in coma; motor response â localizes (cortex intact) > withdraws > decorticate flexor (above red nucleus) > decerebrate extensor (below red nucleus â worse) > none; breathing patterns â Cheyne-Stokes (cerebral/HF) + central neurogenic hyperventilation (midbrain) + apneustic (lower pons) + ataxic/Biot (medullary pre-arrest); brain herniation syndromes â uncal (CN III compression unilateral dilated pupil + decerebrate) + central (bilateral progression alertâdrowsyâdiencephalicâmidbrainâmedullary) + tonsillar (cerebellar tonsils through foramen magnum â apnea/sudden death) + subfalcine (cingulate under falx â ACA compression); workup â glucose immediate + ABG + electrolytes + Ca/Mg + LFTs + ammonia + TFTs + cortisol + CBC + coag + toxicology + alcohol + salicylates + acetaminophen + cultures + pregnancy + CK + lactate + CT head EMERGENT (rule out hemorrhage/herniation) + MRI if negative + LP after imaging + EEG (NCSE, encephalopathy patterns, prognosis post-arrest); empiric therapy â thiamine 100 mg IV BEFORE glucose (Wernicke prevention) + D50W if low/unmeasured + naloxone if opioid suspected + flumazenil controversial (seizure risk); specific causes â opioid OD (pinpoint + hypoventilation + naloxone), hypoglycemia (can mimic stroke focal), hepatic encephalopathy (asterixis + triphasic waves + lactulose/rifaximin), uremic (myoclonus + asterixis + dialysis), Wernicke triad ophthalmoplegia + confusion + ataxia (only 16% all 3) + thiamine before glucose, post-anoxic coma (prognostication at 72 hr off sedation normothermic â NSE/EEG/SSEP/MRI multimodal), septic encephalopathy, CO2 narcosis (COPD + O2 â BiPAP), CO poisoning (cherry red rare, co-oximetry, 100% O2, hyperbaric)ã
374.4.2 ð æ²»ç粟èŠ
- empiric in unknown comaïŒthiamine 100-500 mg IV BEFORE glucose (Wernicke prevention) + glucose D50W 50 mL if low or unmeasured + naloxone 0.4-2 mg IV/IM/IN if opioid suspected + flumazenil controversial (seizure risk if BZD-dependent or co-ingestion)
- Wernicke encephalopathyïŒthiamine 500 mg IV TID à 3 days â 250 mg IV daily à 5 days â 100 mg PO daily ongoing + alcohol use disorder + treat underlying
- hepatic encephalopathyïŒlactulose titrate to 2-3 soft stools/day + rifaximin 550 mg BID + treat precipitant (infection, GI bleed, electrolytes) + protein NOT routinely restricted
- uremic encephalopathyïŒdialysis (hemodialysis or CRRT) + correct underlying
- opioid ODïŒnaloxone 0.04-2 mg IV/IM/IN (short T1/2 â monitor for re-narcotization, continuous infusion if needed)
- CO2 narcosis (COPD + O2 overshoot)ïŒBiPAP + cautious O2 titration to SpO2 88-92%
- CO poisoningïŒ100% O2 via non-rebreather + hyperbaric O2 for severe (LOC, neurologic deficit, COHb > 25%, pregnancy with COHb > 15%); co-oximetry (SpO2 misleading)
- anti-NMDA-R encephalitisïŒtumor search (ovarian teratoma + others) + IVIG 2 g/kg + methylprednisolone pulse + rituximab + cyclophosphamide + plasmapheresis
- brain herniation imminentïŒhead elevation 30° + osmotherapy (mannitol 0.5-1 g/kg, 3% hypertonic saline target Na 145-150) + hyperventilation (acutely, PaCO2 30-35) + sedation + surgical decompression (craniectomy) if applicable
- status epilepticus â comaïŒtreat as SE Ch372
374.4.3 ð¯ ç§é«åž«çèåæé
- Consciousness components: arousal (brainstem RAS) + awareness (cerebral cortex) â both required; coma vs UWS (eyes open + sleep-wake but no awareness) vs MCS (inconsistent awareness) vs locked-in (awake + aware + preserved vertical gaze, ventral pontine lesion)
- Two anatomic causes of coma: (1) bilateral cerebral hemispheric (toxic-metabolic >> structural â most common) vs (2) brainstem RAS dysfunction (midbrain/pons/upper medulla); unilateral hemispheric usually doesnât cause coma UNLESS mass effect â herniation
- GCS (memorize): E (1-4) + V (1-5) + M (1-6) = 3-15; GCS †8 â consider intubation; confounded by intubation, sedation, intoxication
- Pupils critical for localization: bilateral pinpoint reactive = pontine hemorrhage OR opioids OR organophosphate + mid-position fixed = midbrain + bilateral fixed dilated = anoxia/atropine/brain death + unilateral fixed dilated = CN III compression (uncal herniation OR PCA aneurysm â EMERGENCY) + metabolic mostly preserves reactivity
- Eye movements: oculocephalic (dollâs eyes) present in coma = intact brainstem (DO NOT perform if C-spine concern); oculovestibular (cold calorics) more sensitive â eyes deviate TOWARD cold ear in coma (only slow phase)
- Motor response gradient: localizes > withdraws > decorticate flexor (above red nucleus) > decerebrate extensor (below red nucleus â worse prognosis) > none
- Breathing patterns: Cheyne-Stokes (cerebral, HF) + central neurogenic hyperventilation (midbrain) + apneustic (lower pons) + ataxic/Biot (medullary â PRE-ARREST!)
- Empiric therapy unknown coma (memorize sequence): thiamine 100 mg IV BEFORE glucose (Wernicke prevention!) â D50W if low/unmeasured â naloxone if opioid suspected; Wernicke triad ophthalmoplegia + confusion + ataxia (only 16% have all 3 â treat empirically in any suspicious case)
- Brain herniation syndromes: uncal (medial temporal â CN III â unilateral fixed dilated pupil + contralateral hemiparesis) + central (progressive: alert â drowsy â diencephalic â midbrain â medullary) + tonsillar (cerebellar tonsils through foramen magnum â apnea/sudden death) + subfalcine (cingulate under falx â ACA compression â contralateral leg weakness)
- Hepatic encephalopathy clues: asterixis + triphasic waves on EEG + variable ammonia â lactulose + rifaximin + treat precipitant (infection, GI bleed, electrolytes, dehydration, constipation); CO2 narcosis (COPD + O2) â BiPAP; post-anoxic coma prognostication at 72 hr off sedation/normothermic â multimodal NSE + EEG + SSEP + MRI