Disseminated Necrotizing Leukoencephalopathy Complicating Septic Shock in an Immunocompetent Patient by Pedro Gaspar-da-Costa, Sofia Reimão, Sandra Braz, João Meneses Santos, Rui M. M. Victorino

“…Unexpectedly deterioration with progression to coma occurred. Investigation excluded other causes and Magnetic Resonance Imaging (MRI) was consistent with the diagnosis of DNL showing bilateral multifocal white matter lesions with a nonvascular pattern with restricted diffusion. …”
Get full text

Metastatic Insulinoma in a Patient with Type 2 Diabetes Mellitus: Case Report and Review of the Literature by Noormuhammad Oosman Abbasakoor, Marie Louise Healy, Donal O'Shea, Donal Maguire, Cian Muldoon, Kieran Sheahan, Dermot O'Toole

“…Here, we report a case where a 67-year-old lady with a background history of type 2 diabetes mellitus and breakthrough hyperinsulinism who presented with coma. The biochemical profile revealed features typical of insulinoma, and CT and endosonography confirmed a pancreatic tumor with large volume right-sided liver metastases (biopsy confirming a neuroendocrine tumor). …”
Get full text

Effectiveness of Head MSCT Examination in Cases of Mild Head Injuries by Dyah Ayu Puspitaningtyas, Alfian Danie, Muhammad Fa’ik

“…Mild Head Injury (MIH) with a Glasgow Coma Scale (GCS) score of 13-15, has symptoms of temporary loss of neurological function, mild to severe headache and vomiting, CT-Scan examination is performed if there are signs of skull fracture and vomiting more than once. …”
Get full text

Plasmodium falciparum Malaria Complicated by Symmetrical Peripheral Gangrene, Bowel Ischemia, Repeated Candidemia, and Bacteraemia by Emeline Masse, Philippe Hantson

“…The patient was immediately admitted to the intensive care unit after evidence of multiple organ failure (coma, shock, acute respiratory distress syndrome, acute renal failure, etc.). …”
Get full text

Acute Hepatic Failure as a Leading Manifestation in Exertional Heat Stroke by Qi Jin, Erzhen Chen, Jie Jiang, Yiming Lu

“…Here, we reported a 35-year-old male who presented with very high transaminases, hyperbilirubinemia, significant prolongation of the prothrombin time, and coma. No other causes for AHF could be identified but physical exhaustion and hyperthermia. …”
Get full text

Pagophagia-Induced Hyponatremia: An Unusual Case by Aydanur Akbaba, Mustafa Bogan, Ceren Karakeçili, Fatma Boğan, Hasan Sultanoglu

“…The symptoms include nausea, vomiting, confusion, headache, cardiorespiratory symptoms, profound somnolence or coma, and seizures are observed. Iron deficiency anemia can also cause pagophagia, a Pica subspecies. …”
Get full text

Hyperammonemia: What Urea-lly Need to Know: Case Report of Severe Noncirrhotic Hyperammonemic Encephalopathy and Review of the Literature by Ruby Upadhyay, Thomas P. Bleck, Katharina M. Busl

“…A 66-year-old man who presented with coma was found to have isolated severe hyperammonemia and diagnosed with a late-onset urea-cycle disorder. …”
Get full text

Scheduling in Targeted Transient Surveys and a New Telescope for CHASE by Francisco Förster, Nicolás López, José Maza, Petr Kubánek, G. Pignata

Get full text

The Rendu-Osler-Weber Disease Revealed by a Refractory Hypoxemia and Severe Cerebral Fat Embolism by Leonel Barreto, Jean-Bernard Amiel, Anthony Dugard, Nicolas Pichon, Marc Clavel, Bruno François, Philippe Vignon

“…The course was subsequently complicated by a prolonged coma associated with hemiplegia which was attributed to a massive paradoxical fat embolism in the setting of an untreated femoral fracture. …”
Get full text

The REM Observing Software by Mauro Stefanon, Stefano Covino, Dino Fugazza, Emilio Molinari, Francesco D'Alessio, Giuseppe Malaspina, Luciano Nicastro, Vincenzo Testa, Gino Tosti, Fabrizio Vitali

Get full text

Treatment of convulsive status epilepticus in Brazil: a review by Luis Otavio Caboclo

“…The cornerstone of this stage is the induction of therapeutic coma using IV anesthetic drugs (IVADs), although evidence is limited regarding the choice among midazolam, propofol, or barbiturates. …”
Get full text

Steroid Pulse Therapy for Severe Central Nervous System Involvement in Shiga Toxin-Producing Escherichia coli-Related Hemolytic Uremic Syndrome by Chiara Rosazza, Alberto M Cappellari, Cristiano Gandini, Elisa Scola, Gianluigi Ardissino

“…Relatively late and severe central nervous system (CNS) involvement was present, characterized by subacute encephalitis progressing to coma, which became apparent when the acute phase of thrombotic microangiopathy was resolving. …”
Get full text

Severe Hyperammonemia in Late-Onset Ornithine Transcarbamylase Deficiency Triggered by Steroid Administration by Jordi Gascon-Bayarri, Jaume Campdelacreu, Jordi Estela, Ramon Reñé

“…We emphasize the need to examine other family members if the diagnosis is confirmed, in order to prevent further life-threatening episodes of encephalopathy or neonatal coma of newborn.…”
Get full text

Acute toxicity test of Rhizophora apiculata bark extract on rat liver and kidney histology using fixed dose method by Syazili Mustofa, Ilma Puteri Hutami, Dwi Sarwindah

“…Results: This study indicated the absence of any toxic manifestations, such as tremors, excessive salivation, convulsions, coma, and mortality. Nevertheless, it caused histological damage to the rats’ liver and kidney when administered at doses 300 and 2000 mg/kg BW. …”
Get full text

Predictores de vasoespasmo cerebral sintomático en la hemorragia subaracnoidea espontánea by Ezequiel López Espinosa, Miguel Ángel Serra Valdés, Maira Sarmiento Matamoros

“…Low scores on the Glasgow Coma scale and high scores on the Hunt and Hess scale and the World Federation of Neurosurgical Societies scale are related to the presence of symptomatic cerebral vasospasm in spontaneous subarachnoid hemorrhage. …”
Get full text

OPTIMIZAREA MODELELOR DE PREDICȚIE A HIPOGLICEMIEI PRIN COMBINAREA ALGORITMILOR GENETICI ȘI LEVENBERG-MARQUARDT by USM ADMIN

“…Hipoglicemia este o problemă semnicativă care apare adeseori în urma tratamentului intens cu insulină; episoadele nocturne sunt foarte periculoase din cauză că simptomele pot fi adeseori greșit interpretate sau ignorate în timpul somnului și pot evolua către convulsii sau comă chiar și deces. Studiul examinează date de monitorizare continuă a glicemiei pe o perioadă de 3 luni ale cinci persoane diagnosticate cu diabet de tip I. …”
Get full text

Severe Neurotoxicity due to Atropa belladonna Poisoning: A Case Report and Literature Review by Seyed Javad Boskabadi, Sima Ramezaninejad, Zakaria Zakariaei

“…In severe cases, A. belladonna toxicity can lead to seizures, coma, and even death. These cases highlight the importance of awareness regarding the potential toxicity of A. belladonna and the necessity of prompt and appropriate management of its toxicity. …”
Get full text

Surgical Outcomes in Patients with Simultaneous Traumatic Brain and Torso Injuries in a Single Regional Trauma Center over a 5-Year Period by Jung-Ho Yun

“…Conclusions In multiple damaged patients require both torso surgery and head surgery, poor prognosis was associated with low initial Glasgow Coma Scale and high Injury Severity Score. On the other hand, patients had good prognosis when blood pressure was maintained and operation for traumatic brain injury was performed first. …”
Get full text

An endeavor for excellent and aberration-free vision in advanced keratoconus: Penetrating or deep anterior keratoplasty? by Shilpa Dike Joshi, Nikita Vilas Gundecha

“…OPK patients also show a statistically significant improvement in vertical coma, RMS higher-order aberration, and trefoil as compared to DALK. …”
Get full text

Euthanasia as a professional dilemma in nursing students by María Verónica Aveiga Hidalgo, Clara Eliza Pozo Hernández, Olga Mireya Alonso Pico, Erika Marcela León Ravelo

“…<p><strong>Foundation:</strong> the World Health Organization defines euthanasia as the deliberate action carried out by a person with the intention of causing the painless death of another subject, or not preventing death from natural causes, in case of terminal illness or irreversible coma.<br /><strong>Objective:</strong> to identify the information level about euthanasia as a professional dilemma in sixth level nursing students.…”
Get full text