Doctor insights on:
Semi Coma State
My grandmother aged 63 is in semi coma state from yesterday , please explain me the meaning o f semi coma state and also any cures if any .
Definitions: Classically, the terms lethargy, stupor, semi- coma, and full coma describe progressive severity of a patient's condition based on the level of brain dysfunction, as discovered on neurological exam. The semi-coma description includes a specific breathing pattern which may potentially reverse, and the prognosis is a bit better when this term is used. ...Read more
Not normally: The definition of status epilepticus from the working group of the epilepsy foundation is " "more than 30 minutes of continuous seizure activity or two or more sequential seizures without full recovery of consciousness between seizures." so there could be sone consciousness, for example with non-convulsive status epilepticus, but it wouldn't be close to the person's normal state. ...Read more
Can Status epilepticus be pseudo from PTSD? x19hr total loss aware No+EEG during prob to med given for seize Rpd slwng brain wvs 1rst epilepsy event
What was happening: During the status. Were you having tonic clonic movements or were you in a post ictal or other form of unconsciousness? Seizures can result from a number of medical illnesses. Temporal lobe seizures can be hard to find on an EEG but during a seizure there should be something. I am suspicious that something else may have been happening and would welcome further information . Exam and labs. ...Read more
Medical cause for someone in a dream-like extreme dissociative state but no loss of conscious, slowed brain, no sense of time, confabulations, amnesia?
Neurologic/Psycholog: It is necessary to determine the root of your symptoms. A visit to a neurologist is a good place to start. After that a clinical psychologist could be the correct professional. Brain malfunction or psychological trauma may be the cause(s). Peace and good health. ...Read moreSee 1 more doctor answer
Hypothetically (although dangerous) can an alcohol induced coma terminate a grand mal seizure just like an induced coma with propofol?
Dehydration: If you have type 2 diabetes that gets very out of control due to infection, stress, surgery, cortisone or other factors, you can become severely dehydrated as well as have a very high glucose. This can even lead to coma, with an up to 50% morbidity if not treated quickly and effectively with large amounts of IV fluids, a small amount of insulin, control of the original cause and adjustment of elec. ...Read moreSee 2 more doctor answers
Brain stroke recovered,suddenly ammonmia up 99mgc/dl, encephalopathy,motion3times, still unconscious,bp very low, giving saline sol to maintain,advice?
Sounds VERY: serious. If arterial ammonia is elevated, then probably means liver failure. Causes of low blood pressure are many, but if IV saline is correcting it, it sounds like dehydration. If he has sepsis (causing low BP), infection needs to be treated. Consult with a liver specialist. ...Read more
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
? thyroid storm ?: Myxedema is a condition caused by severe alterations in fluid balance due to thyroid disorder. There can be swellings in various tissues including around the eyes and into the brain. There is a hyper state with agitation (myxedema madness), or deterioration of consciousness with stupor and coma. Usually there are early signs that the thyroid is out of control, but acute thyroid storm may occur. ...Read more
Yes: Status epilepticus is a life-threatening condition in which seizures are prolonged and affect much of the brain. Someone can be in a coma with se either because of prolonged seizures or because of meds used to stop the seizure. In either case once the seizures stop it can take time to recover. If the seizures are very prolonged damage to the brain can occur. ...Read more
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
As people understand: 2 things that people call diabetic coma, diabetic ketoacidosis, sugar get high, acid level in blood get high (you do not have Insulin to burn sugar so you burn protein and fat), and you get severely dehydrated and may go into shock. Severe hypoglycemic shock, blood sugar gets to low, the patient looses conciousness and might even have a seizure. Ironically both situations are very different. ...Read more