by Cynthia M. Johnson, MA
A coma is a state of deep unconsciousness. A person in a coma cannot react to events in the environment.
A coma needs emergency treatment right away.
Information about the environment is normally passed from the brainstem to the rest of the brain. This feedback allows a person to be aware of and react to the environment. A coma is caused by a breakdown in this system.
This may happen due to:
Things that may raise the risk of coma are:
Symptoms of a coma are:
The doctor will gather information from friends, family members, or people who were there when symptoms started. The doctor will ask about the person's symptoms and health history, including any use of drugs or alcohol. A physical exam will be done. It will include tests of the nervous system.
Blood and urine tests will be done. The fluid around the brain and spine will also be tested. This can be done with a lumbar puncture.
Images may be taken. This can be done with:
Brain activity may be tested. This can be done with:
A coma is a medical emergency. Doctors will work quickly to find and treat the cause.
Supportive care will be needed, such as:
Ongoing care will be needed for a person who has a coma that does not resolve.
The risk of this problem may be lowered by taking steps to avoid head injury, such as:
Brain Injury Association of America
National Institute of Neurological Disorders and Stroke
Brain Injury Association of Canada
Ontario Brain Injury Association
Coma. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/coma. Accessed January 25, 2021.
Edlow JA, Rabinstein A, et al. Diagnosis of reversible causes of coma. Lancet. 2014 Dec 6;384(9959):2064-2076.
Last reviewed December 2020 by EBSCO Medical Review Board Rimas Lukas, MD
Last Updated: 1/25/2021