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Drowsiness, disorientation following syncopic attack. MRI normal. Concern - Online Doctor Chats

Date : 19-Mar-2013
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:My father in law sufferred from a syncopic attack on 11th and received a brain injury that caused a subdural hemmorrhage
User:he is 77
User:his present brain scans and MRI's do not show any significant abnormality
User:BUt since the last 3 days --he is extremely drowsy and disoriented
User:so much that he cant even swallow food or medicines---
User:medicines are being given to him intravenously
User:his GCS is between 4 and 5
User:doctors have run multiple tests but they have no explnation for his present state
Doctor:Its good to hear that the MRI is normal
User:doctor tells me there is no need to worry--but its is difficult to not worry when the patient is in such a state
Doctor:But most of times post traumatic defects are responsible for the clinical presentation , such defects cannot be picked up by the scan in detail
Doctor:Its just that we have to wait and watch the improvement
Doctor:since some part of the brain does improve after the blood supply to the brain is well maintained
Doctor:recovery will be expected within a month
Doctor:till then none can be sure how he will progress
Doctor:since the age is also at the extreme , none can be certain as in a growing child
User:he seems to be deteriorating--when he was admitted on 11th--he was later discharged 4 days later last thursday-- he was fine on friday also--speaking to us--being able to walk with help--etc--since last saturday--he has lost all control--he has no control on excretion also
Doctor:As i said progression is unpredictable in old age, there will be waxing and a=waning of the state but much good cannot be expected
Doctor:several complications will be responsible for the prognosis after a brain injury, like oedema, non healing parts of the bain , important stuctures involved in the insult and compliance to the medications
Doctor:Is there anything I can help you with /
User:No thats all-- good day
Doctor:I wish him good health and faster recovery
Doctor:Bye for now
Doctor:take care
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