1. Coma and Related Disorders of Consciousness www.freelivedoctor.com
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33. A.- PUPILLARY LIGHT RESPONSES: Simmetrically reactive round pupils: Exclude midbrain damage. (2 to 5 mm ) Enlarged pupil (>5 mm), unreactive or poorly reactive: Intrinsic midbrain lesion (ipsilateral) or by mass effect (contralateral). www.freelivedoctor.com
34.
35. Reactive bilaterally small but not pin- point (1 to 2.5 mm): Metabolic encephalopathy, deep bilateral hemispheral lesions as hydrocephalus or thalamic hemorrhage Very small but reactive pupil Narcotic or barbiturate overdose or bilateral (Less than 1 mm): pontin damage. www.freelivedoctor.com
![coma ,[object Object],www.freelivedoctor.com](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)