title: [Clinical evaluation of coma states].
abstract: Coma is difficult to define and the different gradings and scales (Glasgow, Liège) are practically used and usefull. The development of pre-hospital management and patient imaging make clinical evaluation in the acute phase of lesser importance. Brain death pose a problem for diagnostic, features (permanent loss of cerebral functions) and legal aspects. Loss of integrated neuronal functions with persistent brain stem activity will define persistent vegetative state.
authors.affiliation: Département d'anesthésie-réanimation, Centre de traumatologie orthopédique, Strasbourg - Illkirch.
authors.forename: P A
authors.initials: PA
authors.lastname: Tulasne
mesh_terms: D000367:Age Factors; D001926:Brain Death / Q000175:diagnosis*; D001933:Brain Stem / Q000502:physiology; D003128:Coma / Q000145:classification / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004992:Ethics, Medical; D005500:Follow-Up Studies; D015600:Glasgow Coma Scale; D006801:Humans; D011379:Prognosis; D012018:Reflex; D013997:Time Factors
vernacular_title: Evaluation clinique de l'état de coma.