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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Brain Injury, Shattered Pelvis. In Coma. Want Second Opinion

My husband was in a motorcycle accident last Tuesday and sustained a severe brain injury. The impact was to the right frontal lobe; however, there is significant injury to his entire brain. He has been in a coma since the accident and does not seem to be progressing, in the doctors eyes. He does move when stimulated; however, they say they are most likely not "purposeful" movements, and the movements are called "posturing". He is breathing on his own and is being weaned off the ventalator and all of his vital signs are normal. In addition to his brain injury, he has a shattered pelvis and some other physical injuries, but the pelvis is the most serious. They were going to do surgery on his pelvis; however, decided to hold off on that due to the statistical outlook of the brain. I feel they've pretty much given up hope for my husband. We are in a good hospital, but there is one with a stronger reputation close by. How do I go about getting a second opinion? Thanks
Sat, 20 Apr 2013
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Neurologist 's  Response
Hi,



Thank you for posting your query.



I can understand the seriousness of injury your husband has suffered.



Based on your description, he has suffered a severe brain injury with dysfunction of cerebral cortex.



Following investigations may be useful in determining the prognosis for a good neurological recovery:



1. EEG,

2. Evoked potential studies,

3. PET-CT scan of brain.



You can get the tests done at the current hospital, and meet the doctors at the other hospital for a second opinion.



I hope it helps.

Please get back if you require any additional information.



Best wishes,



Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)

Senior Consultant Neurologist

Apollo Hospitals, Hyderabad,

My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar

My email: drsudhirkumar@yahoo.com
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Brain Injury, Shattered Pelvis. In Coma. Want Second Opinion

Hi, Thank you for posting your query. I can understand the seriousness of injury your husband has suffered. Based on your description, he has suffered a severe brain injury with dysfunction of cerebral cortex. Following investigations may be useful in determining the prognosis for a good neurological recovery: 1. EEG, 2. Evoked potential studies, 3. PET-CT scan of brain. You can get the tests done at the current hospital, and meet the doctors at the other hospital for a second opinion. I hope it helps. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: drsudhirkumar@yahoo.com