ABSTRACT
Patients who are drowsy or comatose pose a particular problem as so much of the
routine neurological examination relies on the ability of the patient to cooperate
and follow instructions. A different approach is therefore required. Often the
patient is already intubated, ventilated, sedated and even paralysed by the time you
get the opportunity to examine them and some drugs may need to be temporarily
withdrawn or reversed, under certain circumstances, to perform the neurological
examination.
