Abstract
Coma is a syndrome characterized by absent purposeful response to any type of external stimuli. Coma can be broadly attributed to either toxo-metabolic or structural injuries. The main goals of the initial evaluation of patients in coma include: evaluation of airway and circulation; determination of focal neurological signs; immediate treatment of suspected underlying conditions. The neurological examination of the coma patient involves level of consciousness, cranial nerves, respiratory patterns, and motor function of the four limbs
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