Impaired Consciousness

In broad terms this refers to conditions disturbing the arousal function of the brain. This is tested by evaluating patients response to pain by evaluating speech, eye opening and limb movement. This method is referred to as the Glasgow Coma Scale (GCS). When there is no speech, eye opening or limb movement in response to pain the patient is in a coma.

Impaired consciousness can be caused by intracranial (conditions in the skull) or extracranial (outside the skull) causes.

Common intracranial causes are: Tumours, trauma, stroke, infections

Common extracranial causes are: Liver or kidney failure, heart or lung failure and drugs.

Treatment is to support the patient by putting them on life support and treat the offending cause.


Dr MJD Jacobsohn qualified in 2007 at the University of Cape Town. He then completed an AO spinal fellowship at the Spinal Unit of Groote Schuur Hospital. He started full time private practice at Mediclinic Vergelegen in 2009 when he joined the established practice of Dr LS Wessels as his associate. A comprehensive range of cranial and spinal neurosurgical pathology are managed by Dr Jacobsohn.


physical address Block 2, Room 9, Mediclinic Vergelegen, Main Road, Somerset West, 7130

telephone number Tel: +27 (0)21 840 7002