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Pseudocoma

MedGen UID:
163569
•Concept ID:
C0860634
•
Mental or Behavioral Dysfunction
Synonym: Pseudocomas

Definition

Feigned coma or psychogenic coma. These patients appear comatose (i.e., unresponsive, unarousable, or both) but have no structural lesion, metabolic or toxic disorder. [from MeSH]

Professional guidelines

PubMed

Effect of Noninvasive Airway Management of Comatose Patients With Acute Poisoning: A Randomized Clinical Trial.
Freund Y, Viglino D, Cachanado M, Cassard C, Montassier E, Douay B, Guenezan J, Le Borgne P, Yordanov Y, Severin A, Roussel M, Daniel M, Marteau A, Peschanski N, Teissandier D, Macrez R, Morere J, Chouihed T, Roux D, Adnet F, Bloom B, Chauvin A, Simon T
JAMA 2023 Dec 19;330(23):2267-2274. doi: 10.1001/jama.2023.24391. PMID: 38019968Free PMC Article
Delirium in critical illness: clinical manifestations, outcomes, and management.
Stollings JL, Kotfis K, Chanques G, Pun BT, Pandharipande PP, Ely EW
Intensive Care Med 2021 Oct;47(10):1089-1103. Epub 2021 Aug 16 doi: 10.1007/s00134-021-06503-1. PMID: 34401939Free PMC Article
Hypothyroidism: Diagnosis and Treatment.
Wilson SA, Stem LA, Bruehlman RD
Am Fam Physician 2021 May 15;103(10):605-613. PMID: 33983002

Recent clinical studies

Diagnosis

Functional Coma: Two Case Reports and a Review of the Literature.
Ryznar E, Wilcox D
Psychosomatics 2019 Jul-Aug;60(4):343-351. Epub 2019 Mar 27 doi: 10.1016/j.psym.2019.03.005. PMID: 31053419
The locked-in syndrome : what is it like to be conscious but paralyzed and voiceless?
Laureys S, Pellas F, Van Eeckhout P, Ghorbel S, Schnakers C, Perrin F, Berré J, Faymonville ME, Pantke KH, Damas F, Lamy M, Moonen G, Goldman S
Prog Brain Res 2005;150:495-511. doi: 10.1016/S0079-6123(05)50034-7. PMID: 16186044
Pseudoneurologic syndromes: recognition and diagnosis.
Shaibani A, Sabbagh MN
Am Fam Physician 1998 May 15;57(10):2485-94. PMID: 9614416
Hypermagnesemic pseudocoma.
Rizzo MA, Fisher M, Lock JP
Arch Intern Med 1993 May 10;153(9):1130-2. PMID: 8481079

Therapy

Pearls & Oy-sters: Reversible Postpartum Pseudocoma State Associated With Magnesium Therapy: A Report of 2 Cases.
Friedman-Korn T, Lerner Y, Haggiag S, Nama A, Ekstein D, Argov Z, Vaknin-Dembinsky A, Gotkine M
Neurology 2022 Sep 6;99(10):433-436. Epub 2022 Jul 6 doi: 10.1212/WNL.0000000000200956. PMID: 36219798
Hypermagnesemic pseudocoma.
Rizzo MA, Fisher M, Lock JP
Arch Intern Med 1993 May 10;153(9):1130-2. PMID: 8481079

Clinical prediction guides

Pseudoneurologic syndromes: recognition and diagnosis.
Shaibani A, Sabbagh MN
Am Fam Physician 1998 May 15;57(10):2485-94. PMID: 9614416

Supplemental Content

Table of contents

    Practice guidelines

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    Related information

    • MeSH
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