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Coma Scales. The primary goal of the neurologic examination in an unresponsive patient is to localize the lesion and thereby narrow the differential diagnosis. The examination should proceed in a stepwise fashion and be familiar to the neurologist because of constant repetition.
Intractable epilepsy is a seizure disorder in which a patientâs seizures fail to come under control with treatment. These seizures are sometimes also called âuncontrolledâ or ârefractory.â. Frequently intractable epilepsy interferes with a patientâs quality of life. People who are not seizure-free need to be careful about possible accidents during a seizure. Patients with intractable epilepsy need to take caution while in water, near busy streets or railway platforms, and often are unable to drive.