A 55-year-old previously healthy Asian Indian man was brought to our hospital with alleged near drowning. He had been found prone in a shallow pool of water in the grounds near his home by his neighbours. The actual circumstances of the event had not been witnessed. At presentation, he was deeply comatose with a Glasgow Coma Scale of 3/15. He was haemodynamically stable, but hypoxic (arterial oxygen saturation: 65% on room air) and gasping. Systemic examination revealed bilateral ocular bobbing (video 1). Oculocephalic reflex was absent. The pupils were bilaterally miotic and responded sluggishly to light. Deep tendon reflexes were normal and symmetrical. Plantar response was bilaterally absent. There were no other focal neurological signs. Respiratory....
Language: en
", language="en", issn="1757-790X", doi="10.1136/bcr-2013-201591", url="http://dx.doi.org/10.1136/bcr-2013-201591" }