Altered mental status

Diana King, Jeffrey R. Avner

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Altered mental status is a sign of serious neurologic or systemic disease. The physician must rapidly asses the depth of coma and risk of intracranial hypertension, then determine the etiology and prescribe appropriate management. This is no small task, considering the variety and multitude of illnesses that may present with altered mental status. Tha etiologies can be broken down into structural and medical causes. The structural causes more frequently affect the brainstem centers adjacent to the ascending reticular activating system that are responsible for pupillary response and oculocephalic reflexes. Medical causes generally spare these structures. Management of structural lesions requires prompt diagnosis and neurosurgical input. Medical etiologies are protean and treatment is often supportive.

Original languageEnglish (US)
Pages (from-to)171-178
Number of pages8
JournalClinical Pediatric Emergency Medicine
Issue number3
StatePublished - Sep 2003

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine


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