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Title

NON-TRAUMATIC COMA IN CHILDREN IN SOUTH-EAST OF IRAN

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 Start Page 66 | End Page 66

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Abstract

 Background: A lot of CHILDREN with NON-TRAUMATIC COMA will suffer from complications or even die from it. Determining the causes of consciousness loss in any specific region, and within any sex and age group will dramatically reduce such complications. This article addresses the causes of NON-TRAUMATIC COMA in CHILDREN.Methods: All CHILDREN (aged 1 month to 15 years) hospitalized for NON-TRAUMATIC COMA were included in the study. All of the patients received clinical measures such as history, physical, and neurological examinations by evaluation of consciousness level using GCS system, and paraclinical assessments including CBC, diff, blood biochemistry, urine analysis, and liver function tests for all patients. In case of indication, blood and urine culture, brain CT scan or MRI, Lumbar Puncture, metabolic study, EEG, and so forth were carried out. Finally, with respect to the findings from the history, clinical examinations, and paraclinical information, the cause of consciousness loss was determined.Findings: Among the 123 CHILDREN under investigation, there were 76 boys (61.8%) and 47 girls (38.2%) with average age of 3.2±0.64 years. The causes of the CHILDREN's loss of consciousness were as follows: Toxic causes in 61 patients (49.6%), infectious causes in 30 patients (24.4%), metabolic causes in 11 patients (8.9%), and structural abnormality of the brain in 4 patients (3.3%). Seizure was the cause of consciousness loss in 7 CHILDREN (5.7%). In addition, 10 patients (8.1%) had other causes for loss of consciousness.Conclusion: Toxic causes with an incidence of 49.6% were the most common cause of loss of consciousness within all age groups.

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