2021
DOI: 10.1007/s00415-021-10527-4
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The diagnostic value of the neurological examination in coma of unknown etiology

Abstract: Background Identifying the cause of non-traumatic coma in the emergency department is challenging. The clinical neurological examination is the most readily available tool to detect focal neurological deficits as indicators for cerebral causes of coma. Previously proposed clinical pathways have granted the interpretation of clinical findings a pivotal role in the diagnostic work-up. We aimed to identify the actual diagnostic reliability of the neurological examination with regard to identifying a… Show more

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Cited by 13 publications
(12 citation statements)
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“…These features used to specify the percentage of carbon and oxygen in the blood, indicate the level of blood PH and patient's acid-base balance [98]. All of these are critical situations, affect patient response and may lead to sudden death [99,100]. Appendix A shows the feature names, Id, normal range and unit of measurement (UoM).…”
Section: Feature Extractionmentioning
confidence: 99%
“…These features used to specify the percentage of carbon and oxygen in the blood, indicate the level of blood PH and patient's acid-base balance [98]. All of these are critical situations, affect patient response and may lead to sudden death [99,100]. Appendix A shows the feature names, Id, normal range and unit of measurement (UoM).…”
Section: Feature Extractionmentioning
confidence: 99%
“… Das Syndrom der Patientin lässt sich am besten als quantitative Bewusstseinsstörung unklarer Genese beschreiben. Für die interne Logistik jedoch ist der Terminus Koma unklarer Genese auch bei einem nur gering reduzierten GCS oft sinnvoller, da es keine klare Korrelation zwischen GCS und zugrunde liegender Ätiologie gibt, der GCS häufig fluktuiert und es bei ihm ein relevantes Inter-Observer-Problem gibt [ 4 , 6 , 7 ]. …”
Section: Prüfungsfragenunclassified
“…Ct scan is usually employed for this distinguishment (9). Further examination and a complete history can help diagnose the cause of altered LOC (10). In addition, determining etiology is also used to predict the patient's prognosis (4).…”
Section: Introductionmentioning
confidence: 99%