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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Intense Agitation, Memory Loss After Medically Induced Coma For Blood Loss During Aorta Aneurysm. Is It Due To Medicines Or Brain Damage?

My mother in law was put in a medically induced coma for losing a lot of blood during her arota aneurysm surgery after 5 days woke up but is very agitated. We are not sure if this is from the meds or if she had some brain damage from loss of blood to brain. She recognises family but does not remember why she is in the hospital. Can the doctors do a test to determine if any brain damage has occurred?
Mon, 1 Oct 2012
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Internal Medicine Specialist,  's  Response
Dear friend, welcome to HCM!

It is a complex issue and answer will depend on many things and findings.
Interruption of blood supply to the brain during Aortic cross clamping during aneurysm surgery may cause ischaemic brain injury.

An MRI of the brain (if safe to do and feasible) can show if there is any structural damage.

Residual sedation can also cause some dementia.
It is best to be guided by the treating doctors about the cause as this a complex phenomenon and they are the best judge for her.
Take care and please keep me informed of your progress.
Good Luck!
I hope to have answered your query satisfactorily.
Thank you!
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Intense Agitation, Memory Loss After Medically Induced Coma For Blood Loss During Aorta Aneurysm. Is It Due To Medicines Or Brain Damage?

Dear friend, welcome to HCM! It is a complex issue and answer will depend on many things and findings. Interruption of blood supply to the brain during Aortic cross clamping during aneurysm surgery may cause ischaemic brain injury. An MRI of the brain (if safe to do and feasible) can show if there is any structural damage. Residual sedation can also cause some dementia. It is best to be guided by the treating doctors about the cause as this a complex phenomenon and they are the best judge for her. Take care and please keep me informed of your progress. Good Luck! I hope to have answered your query satisfactorily. Thank you!