And Babinski responses.3. There are three mechanisms of coma / depressed mental status.A. Bilateral cerebral hemisphere dysfunction (E. G. Bilateral infarcts bilateral,,,Subdurals hydrocephalus meningitis,,,,, subarachnoid hemorrhage generalizedSeizure activity).B. Brainstem dysfunction only.Education Direct brainstem injury (brainstem infarction tumors or, bleeds).Education Brainstem compression / displacement by supratentorial lesion (herniation.Secondary to, supratentorial tumor edema or bleed).C. Diffuse cerebral and brainstem dysfunction (e.g. Hypoxia hypoglycemia,,,Drug intoxications uremia hepatic encephalopathy meningitis,,,,, Suba rachnoidHemorrhage).Unilateral cerebral dysfunction alone does not cause coma (I. E, a unilateral infarct.Or tumor does not explain, com a U N less herniation and compression of.Brainstem structures has occurred.Neurology.
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