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| ==Origin== | | ==Origin== |
| New [[Latin]], from [[Greek]] kōma deep [[sleep]] | | New [[Latin]], from [[Greek]] kōma deep [[sleep]] |
− | *[http://en.wikipedia.org/wiki/17th_century 1646] | + | *[https://en.wikipedia.org/wiki/17th_century 1646] |
| ==Definitions== | | ==Definitions== |
| *1: a [[state]] of [[profound]] [[unconsciousness]] caused by [[disease]], [[injury]], or [[poison]] | | *1: a [[state]] of [[profound]] [[unconsciousness]] caused by [[disease]], [[injury]], or [[poison]] |
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| ==Description== | | ==Description== |
| In [[medicine]], a '''coma''' (from the [[Greek]] κῶμα koma, meaning [[deep]] [[sleep]]) is a state of unconsciousness, lasting more than 6 hours in which a [[person]] cannot be [[awakened]], fails to [[respond]] normally to [[painful]] stimuli, [[light]] or [[sound]], lacks a [[normal]] [[sleep]]-[[wake]] [[cycle]] and does not initiate [[voluntary]] [[actions]]. A [[person]] in a state of coma is described as ''comatose''. Glasgow Coma Scale, a [[person]] with [[confusion]] is considered to be in the mildest coma. | | In [[medicine]], a '''coma''' (from the [[Greek]] κῶμα koma, meaning [[deep]] [[sleep]]) is a state of unconsciousness, lasting more than 6 hours in which a [[person]] cannot be [[awakened]], fails to [[respond]] normally to [[painful]] stimuli, [[light]] or [[sound]], lacks a [[normal]] [[sleep]]-[[wake]] [[cycle]] and does not initiate [[voluntary]] [[actions]]. A [[person]] in a state of coma is described as ''comatose''. Glasgow Coma Scale, a [[person]] with [[confusion]] is considered to be in the mildest coma. |
| + | <center>For lessons on the [[topic]] of '''''Coma''''', follow [https://nordan.daynal.org/wiki/index.php?title=Category:Coma '''''this link'''''].</center> |
| + | Coma may result from a variety of conditions, including [[intoxication]] (such as illicit [[drug]] [[abuse]], overdose or misuse of over the counter medications, prescribed medication, or controlled substances), metabolic abnormalities, central [[nervous system]] [[diseases]], acute neurologic [[injuries]] such as [https://en.wikipedia.org/wiki/Stroke strokes] or herniations, hypoxia, hypothermia, hypoglycemia or traumatic [[injuries]] such as head [[trauma]] caused by falls or vehicle collisions. It may also be [[deliberately]] induced by pharmaceutical agents in order to preserve higher [[brain]] functions following brain [[trauma]], or to save the patient from [[extreme]] pain during [[healing]] of [[injuries]] or [[diseases]]. |
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− | Coma may result from a variety of conditions, including [[intoxication]] (such as illicit [[drug]] [[abuse]], overdose or misuse of over the counter medications, prescribed medication, or controlled substances), metabolic abnormalities, central [[nervous system]] [[diseases]], acute neurologic [[injuries]] such as [http://en.wikipedia.org/wiki/Stroke strokes] or herniations, hypoxia, hypothermia, hypoglycemia or traumatic [[injuries]] such as head [[trauma]] caused by falls or vehicle collisions. It may also be [[deliberately]] induced by pharmaceutical agents in order to preserve higher [[brain]] functions following brain [[trauma]], or to save the patient from [[extreme]] pain during [[healing]] of [[injuries]] or [[diseases]].
| + | In order for a patient to maintain [[consciousness]], two important neurological components must [[function]] impeccably. The first is the [https://en.wikipedia.org/wiki/Cerebral_cortex cerebral cortex] which is the gray matter covering the outer layer of the [[brain]], and the other is a structure located in the [https://en.wikipedia.org/wiki/Brainstem brainstem], called [https://en.wikipedia.org/wiki/Reticular_activating_system reticular activating system] (RAS or ARAS). [[Injury]] to either or both of these components is sufficient to [[cause]] a patient to [[experience]] a ''coma''. The human cortex is a group of tightly dense, "gray matter" composed of the [[nucleus]] of the [[neurons]] whose axons then form the "white matter", and is [[responsible]] for the [[perception]] of the [[universe]], relay of the sensory input (sensation) via the thalamic pathway, and most importantly directly or indirectly in charge of all the neurological functions, from simple [[reflexes]] to [[complex]] [[thinking]]. Reticular activating system (RAS) on the other hand is a more [[primitive]] [[structure]] in the brainstem that is tightly in connection with reticular formation (RF), a critical anatomical structure needed for [[maintenance]] of arousal. Reticular activating system (RAS) takes its name from the [[effect]] it has on the [https://en.wikipedia.org/wiki/Reticular_formation reticular formation], which is via its stimulation. It is therefore [[necessary]] to investigate in a comatose patient, the [[integrity]] of the bilateral cerebral cortices, and the reticular activating system (RAS).[https://en.wikipedia.org/wiki/Coma] |
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− | In order for a patient to maintain [[consciousness]], two important neurological components must [[function]] impeccably. The first is the [http://en.wikipedia.org/wiki/Cerebral_cortex cerebral cortex] which is the gray matter covering the outer layer of the [[brain]], and the other is a structure located in the [http://en.wikipedia.org/wiki/Brainstem brainstem], called [http://en.wikipedia.org/wiki/Reticular_activating_system reticular activating system] (RAS or ARAS). [[Injury]] to either or both of these components is sufficient to [[cause]] a patient to [[experience]] a ''coma''. The human cortex is a group of tightly dense, "gray matter" composed of the [[nucleus]] of the [[neurons]] whose axons then form the "white matter", and is [[responsible]] for the [[perception]] of the [[universe]], relay of the sensory input (sensation) via the thalamic pathway, and most importantly directly or indirectly in charge of all the neurological functions, from simple [[reflexes]] to [[complex]] [[thinking]]. Reticular activating system (RAS) on the other hand is a more [[primitive]] [[structure]] in the brainstem that is tightly in connection with reticular formation (RF), a critical anatomical structure needed for [[maintenance]] of arousal. Reticular activating system (RAS) takes its name from the [[effect]] it has on the [http://en.wikipedia.org/wiki/Reticular_formation reticular formation], which is via its stimulation. It is therefore [[necessary]] to investigate in a comatose patient, the [[integrity]] of the bilateral cerebral cortices, and the reticular activating system (RAS).[http://en.wikipedia.org/wiki/Coma] | |
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| [[Category: Health]] | | [[Category: Health]] |