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Journal of Tropical Pediatrics 1983 29(4):230-232; doi:10.1093/tropej/29.4.230
© 1983 by Oxford University Press
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Non-traumatic Coma in Childhood: Etiology, Clinical Findings, Morbidity, Prognosis and Mortality

ADEBOYE O. OGUNMEKAN, MD(NEWC), MRCP(UK), DCH(GLAS)

From the Division of Neurology {Department of Paediatrics), Lagos University Teaching Hospital/College of Medicine Lagos, Nigeria

The records of 225 comatose children aged 6 weeks to 10 years seen in the Children's Emergency Room of the Lagos University Teaching Hospital were reviewed. Traumatic cases were excluded. Etiology, clinical findings, systemic disturbances, and factors predicting outcome were correlated. Intracranial infection (n = 94) was the most frequent cause of the coma. Associated grand mal seizures were reported in 152 children (68 per cent), most frequently in those aged 1 to 3 years. Metabolic acidosis or other systemic disturbances, usually multiple, occurred in nearly half the children. Sixty children died. Ocular and motor abnormalities correlated significantly with mortality. At discharge, 102 of the remaining 165 children were normal and 63 had mild to severe handicap.


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 Arch. Dis. Child.Home page
C P Wong, R J Forsyth, T P Kelly, and J A Eyre
Current topic: Incidence, aetiology, and outcome of non-traumatic coma: a population based study
Arch. Dis. Child., March 1, 2001; 84(3): 193 - 199.
[Abstract] [Full Text]


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