🚀 go-pugleaf

all patients with coma suspected of being
psychogenic in origin must undergo thorough evaluation until the
diagnosis is clearly established. A conversion reaction and
malingering are the most common causes of pseudocoma."

#randsent

"It is important to remember that none of the historical data
absolutely include or exclude the possibility of pseudocoma. However,
there are some clinical findings suggestive of psychogenic origin,
such as conditions precipitated by stress. Pseudocoma usually begins
or persists when an observer is present. Patients with pseudocoma
slump to the floor and protect themselves from hitting their heads and
other body parts."

#randsent

"During examination, patients with pseudocoma usually make
semipurposeful avoiding movements. They have normal pupils, corneal
reflexes and plantar reflexes. They may keep their eyes firmly shut
and resist the opening of the eye by examiners. Because eyelid tone
cannot be changed at will, in patients with true coma passive eyelid
opening is easy and is followed by slow eyelid closure. Blinking also
increases in feigned coma, but decreases in true coma. Passive eye
opening in a sleeping or an actually comatose person results in
mydriasis if the pupillary reflex mechanisms are intact. Conversely,
opening the eyes of a person who is awake produces miosis. The eyes
roll