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COMA-INFRATENTORIAL ETIOLOGY

Neurology

COMA-INFRATENTORIAL ETIOLOGY

1. lnfratentorial coma is due to an injury that causes destruction or compression of the brainstem.

2. Signs include bilateral reactive pinpoint pupils (due to pontine involvement) and respiratory abnormalities, including cluster breathing, apneusis (deep gasping), and ataxic breathing.

3. 3 possible causes: basilar artery occlusion with pontine infarction, cerebellar infarction or hemorrhage, posterior fossa neoplasms.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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