The most common symptoms and signs were obtundation
(13 [65%]), prolonged unconsciousness (nine [45%]), respiratory depression (nine [45%]), anxiety/nervousness (seven [35%]), nausea/vomiting (six [30%]), confusion (six [30%]), tremors/twitching (four [20%]), tachycardia (three [15%]), and combativeness (three [15%]).
On August 20, he required intubation because of frequently vomiting and obtundation
He said warning signs included severe abdominal pain, persistent vomiting, marked change in temperature from fever to hypothermia, haemorrhagic manifestations, change in mental status like irritability, confusion or obtundation
Which presents with ataxia, slurred speech, generalized seizures & obtundation
Although NMS is rare, it can cause lethal complications, including autonomic instability, brain damage, acute renal failure, pulmonary embolism secondary to rigidity, aspiration pneumonia secondary to obtundation
or dysphagia, fatal arrhythmias, and respiratory failure.
In the majority of reported studies, coma occurred at levels of 2 to 28 mg/dL, while stupor occurred in the range of 8 to 59 mg/dL and obtundation
at 9 to 60 mg/dL.
Affected patients have a tableau of symptoms referable to hypoglycemia, mental confusion obtundation
Abstract: The case of a 49-year-old alcoholic man with obtundation
10,15] Intracranial causes of traumatic central nervous system impairment usually are associated with mental obtundation
3,4) We present the case of an 18-year-old man with severe nausea, vomiting, and obtundation
due to metabolic decompensation of IVA.
Use sedatives with caution because of alternating periods of delirium and obtundation
during nutmeg intmdcation.