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The corneal refiex has a excessive threshold in comatose patients and is normally preserved until late (except coma is due to drug overdose), by which case its loss is a poor prognostic signal. In contrast, activation of the alternate complement pathway, which bypasses these early complement components, decreases levels of C3, however the levels of the early factors (C2 and C4) are regular. Patients with posttraumatic complications which are refractory to therapy ought to be referred to a bodily medication and rehabilitation physician, neurologist or mind harm specialist for further evaluation spasms while high cheap 30 mg nimotop amex. |
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