• Gerald S. Golden
Part of the Topics in Pediatrics book series (TIPE)


The child in coma represents an acute pediatric emergency. The physician is faced with the tasks of initiating emergency management, defining the cause of the alteration in consciousness, and instituting specific therapeutic procedures, all of which must be carried out simultaneously. Important entities associated with coma are discussed in other chapters. The focus here is on the initial diagnosis and management.


Status Epilepticus Brain Death Pupil Size Impaired Consciousness Spastic Quadriplegia 
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  1. 1.
    Plum, F., and Posner, J. B., 1980, The Diagnosis of Stupor and Coma, FA Davis, Philadelphia.Google Scholar
  2. 2.
    Teasdale, G., and Jennett, B., 1974, Assessment of coma and impaired consciousness: A practical scale, Lancet 2: 81–84.PubMedCrossRefGoogle Scholar
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    Raimondi, A. J., and Hirschauer, J., 1984, Head injury in the infant and toddler: Coma scoring and outcome scale, Child’s Brain 11: 12–35.PubMedGoogle Scholar
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    Gillies, J. D., and Seshia, S. S., 1980, Vegetative state following coma in childhood: Evolution and outcome, Dey. Med. Child. Neural. 22: 642–648.CrossRefGoogle Scholar
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    McMenamin, J. B., and Volpe, J. J., 1983, Doppler ultrasonography in the determination of neonatal brain death, Ann. Neurol. 14: 302–307.PubMedCrossRefGoogle Scholar

Additional Reading

  1. Johnston, R. B., and Mellits, E. D., 1980, Pediatric coma: Prognosis and outcome. Dev. Med. Child. Neurol. 22: 3–12.PubMedCrossRefGoogle Scholar
  2. Seshia, S. S., Seshia, M. M. K., and Sachdeva, R. K., 1977, Coma in childhood, Dev. Med. Child. Neurol. 19: 614–628.PubMedCrossRefGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1987

Authors and Affiliations

  • Gerald S. Golden
    • 1
  1. 1.Department of Neurology, The Health Science CenterUniversity of Tennessee, MemphisMemphisUSA

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