Doctor insights on:
Can one person without being in a coma have abnormal posturing? What are the causes of this symptom? Thanks.
Yes!! : Abnormal posturing can occur in a large variety of conditions from psychiatric states (e.g. Catatonic schizophrenia) to organic conditions including drug reaction , cerebral palsy, extrapyramidal disorders ( such as chorea, parkinson's disease, hemi ballismus dystonia's etc ) the list is not exhaustive! ...Read moreSee 1 more doctor answer
Coming out of coma with very brief muscle spasms (posturing?) but has gcs of 8/9. Does this mean better chance of recovery?
Does decorticate & decerebrate posturing during hypoglycemia followed by coma mean that a person has brain damage?
Posturing: It is definitely concerning to have this posturing. The ability to recover would relate to the amount of time the patient was hypoglycemic. ...Read more
Patient coming out of coma from ruptured avm is 'posturing', but also responding to pain/cold (makes faces) and has eyes focused. Is this abnormal?
Redirection of blood: Even though there is a dramatic increase in blood flow to the stomach and intestines after a meal (proven by ultrasounds) it is thought that it is the increased parasympathetic nervous system activity (opposite of the fight or flight sympathetic activity) which causes the feeling of lethargy. ...Read moreSee 1 more doctor answer
No: In true coma there is no recognition of anything in the environment. Sometimes people who have been in a coma remember conversations, but many times these never occurred. Dreams and other neurologic functions can cause false memories. However, it's a good idea to always act as if the person can hear what you say. When coming out of a coma some conversations may be remembered. ...Read moreSee 2 more doctor answers
Multiple sclerosis: Ms affects the brain and spinal cord. Early symptoms include weakness, tingling, numbness, and blurred vision. Others are muscle stiffness, thinking problems, and urinary problems. The diagnosis is made by history of symptoms and neurological exam, often with an mri, spinal tap and other tests. Coma is a condition in which conscious cognitive function has ceased and can be caused by ms. ...Read moreSee 2 more doctor answers
Scottish head trauma: A major hospital in glascow scotland published levels of coma in head trauma patients. It has now become the standard throughout the world. It is a number from 1 to 15 that can describe the neurological condition of the patient. There are five categories each of which can get a number 1, 2, or 3. A fully conscious and responsive patient will get a 15 with serious injury usually below 7. ...Read more
Level of response: The Glasgow scale is a measure of responsiveness of an individual who has experienced some form of brain trauma. It is used so that when transferring a person from the care of one individual or institution, all will understand the condition of the injured person and can follow to determine if there is improvement or deterioration. ...Read more
Likely yes!: I can answer this from personal experience. I spent months in an ICU on a ventilator and i was in a coma for part of that time. I heard a lot more than anyone imagined! believe me, i could write a soap opera. Always assume that someone in a coma can hear you. Talk to the person as if they can, and put your mouth close to their ear. Don't let anyone make you feel silly for doing so! ...Read more
Stupor and coma: Classical stages include lethargy, stupor, semi-coma and full coma. All of this is based on the area of the brain which is mostly affected, and the findings on exam correlating with the extent of the problem. The physician can adjust therapy, provide a prognosis, and make decisions based on clinical exam findings. Coma can be chronic, over weeks or months, or brief, such as a concussion. ...Read moreSee 1 more doctor answer
Yes: There are instances where individuals have had surgical procedures during a coma, depending upon the cause of the coma. This is a broad answer to a difficult question for which it is hard to make generalizations. On the other hand, some patients in a coma are not surgical candidates, and may not be eligible to receive surgery. ...Read more
Horrible: During childbirth several horrible things can occur to the mother and to the child. Unclear from the question to whom you are referring. Coma of the mother can be caused by intracranial hemorrhage, anoxic damage, severe eclampsia, pituitary apoplexy, etc. In the baby it can be caused by hie (hypoxic ischemic encephalopathy). Recovery depends on cause and degree of damage. ...Read more
Usually initially: It is not unusual for patients in coma to lose weight initially as they are in a catabolic state from whatever disease caused the coma in the first place. Patients are usually provided nutrition via tube and calories and nutrition carefully calculated in coordination with a registered dietician. After a time, which is variable, the catabolic state is reversed and patient will begin to gain weight. ...Read more