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Coma Scales. The primary goal of the neurologic examination in an unresponsive patient is to localize the lesion and thereby narrow the differential diagnosis. The examination should proceed in a stepwise fashion and be familiar to the neurologist because of constant repetition.
There is much that remains unknown about assessment and management of severe brain injury. This brief primer will attempt to examine a few critical topics as related to the terminology, evaluation and management in persons of low level neurological states (LLNSs) following acquired brain injury and in particular traumatic brain injury (TBI). Coma is a state of unarousable, unresponsiveness.