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Symptoms of coma include-. âº Unconsciousness. The patient may appear to be in a deep sleep. âº The patient is unresponsive to external stimuli- strong tactile (painful), or verbal stimuli. âº The patient may exhibit spontaneous body movements- shake or jerk abnormally, or the eyes may move. âº Inability to open the eyes.
Problems that can lead to coma include: 1  Trauma: Head injuries can cause the brain to swell and/or bleed. 2  Swelling: Swelling of brain tissue can occur even without distress. 3  Bleeding: Bleeding in the layers of the brain may cause coma due to swelling and compression on the injured side of the brain. This compression causes the brain to shift, causing damage to the brainstem and the RAS (mentioned above).