[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Other Articles
November 27, 1937


Author Affiliations

Springfield State Hospital, Sykesville, Md.

JAMA. 1937;109(22):1833-1834. doi:10.1001/jama.1937.02780480065025

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


To the Editor:—  Recent literature discussing the insulinhypoglycemic therapy of schizophrenia indicates some confusion as to what is understood by the term coma. It is of clinical importance to have some gage as to the onset of coma and its optimum depth. Dorland defines coma as a state of complete loss of consciousness from which the patient cannot be aroused even by the most powerful stimulation. Sakel states (Am. J. Psychiat.94:111 [July] 1937) that "coma should be associated with the absence of the corneal reflex or at least with presence of a Babinski." Cameron and Hoskins (The Journal, Oct. 16, 1937, p. 1246) differ. They say "We usually consider somewhat arbitrarily that coma is present when the patient can no longer swallow, when, if he is turned on his side, saliva tends to drool from the mouth, or when, on the eyelids being drawn up, the eyeball is

First Page Preview View Large
First page PDF preview
First page PDF preview