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Headache, Eye Redness, Slurred Voice, Drooping Face, Vomiting. Coma?
This is regarding my mother condition.
29/09/2013 : I was coming back to home with my mother in car. Our place was about 20 minutes distance. Suddenly at 2:30 pm she complained severe headache on right side, her right eye become red, her voice got slurred and i noticed that her left side of face is drooping.
Suddenly she started vomitting, i stopped car got a bottle of cold drink, gave it to her which she holded in her right hand and i started driving car again, after a moment i noticed that she was still holding the bottle in right hand, i asked why u r not opening the bottle (i could not understand thather left side has become weak) now i rushed car to the govt hospital in the mean time she vommited 2-3 times more. Doctors on duty said that this is cerebrovascular accident and referred to speciality hospital in Ambulance.
At 4:00 P.m i reached a good hospital and CT was done in emergency which showed Right basal ganglia bleed. She was planned to be on conservative medical management. She was on same protocol for a week following commands like raise ur right hand , bend your right knee and do you have pain she nodd in yes and touched right side of forehead telling the site of pain, opening eyes on pain only not spontaneously and speaking few words.
07/10/2013: at around 4:00 P.m she deteriorated (subfalcine orientation) to GCS score E1V1M3, electively intubated and Decompression Craniotomy surgery was planned. She was operated on the same night and large part of right side Of Frontal,parietal and Temporal bones were removed and Scalp was sutured back to provide space for swollen brain to
expand.
25/10/2013: after so many days after surgery she is in minimally conscious state, neither on ventilator nor on oxygen,respirating by herself , open eyes sometimes but closes soon, understanding a little but cannot express anything neither follow commands, Bed ridden need assistance everytime, and most of the time keep her right hand on face or on Right craniotomy site.
Now the Medical doctors are planning to shift her to room from ICU and after a few days discharge in same condition, as they said they have done what was required and now brain injury will take long time to recover however disability will be there.
Is she in coma?
Is she in minimally conscious state?
Yawning and chewing are good signs or bad ?
please put some light on her situation
29/09/2013 : I was coming back to home with my mother in car. Our place was about 20 minutes distance. Suddenly at 2:30 pm she complained severe headache on right side, her right eye become red, her voice got slurred and i noticed that her left side of face is drooping.
Suddenly she started vomitting, i stopped car got a bottle of cold drink, gave it to her which she holded in her right hand and i started driving car again, after a moment i noticed that she was still holding the bottle in right hand, i asked why u r not opening the bottle (i could not understand thather left side has become weak) now i rushed car to the govt hospital in the mean time she vommited 2-3 times more. Doctors on duty said that this is cerebrovascular accident and referred to speciality hospital in Ambulance.
At 4:00 P.m i reached a good hospital and CT was done in emergency which showed Right basal ganglia bleed. She was planned to be on conservative medical management. She was on same protocol for a week following commands like raise ur right hand , bend your right knee and do you have pain she nodd in yes and touched right side of forehead telling the site of pain, opening eyes on pain only not spontaneously and speaking few words.
07/10/2013: at around 4:00 P.m she deteriorated (subfalcine orientation) to GCS score E1V1M3, electively intubated and Decompression Craniotomy surgery was planned. She was operated on the same night and large part of right side Of Frontal,parietal and Temporal bones were removed and Scalp was sutured back to provide space for swollen brain to
expand.
25/10/2013: after so many days after surgery she is in minimally conscious state, neither on ventilator nor on oxygen,respirating by herself , open eyes sometimes but closes soon, understanding a little but cannot express anything neither follow commands, Bed ridden need assistance everytime, and most of the time keep her right hand on face or on Right craniotomy site.
Now the Medical doctors are planning to shift her to room from ICU and after a few days discharge in same condition, as they said they have done what was required and now brain injury will take long time to recover however disability will be there.
Is she in coma?
Is she in minimally conscious state?
Yawning and chewing are good signs or bad ?
please put some light on her situation
Thu, 31 Oct 2013
Hi,
Thank you for posting your query.
It is unfortunate that your mother suffered a major brain stroke (haemorrhage), resulting in damage to several parts of brain. Some degree of brain injury is permanent, however, some improvement would occur. Detailed neurological examination, along with tests like EEG and PET scan can help us diagnose her current status, whether she is conscious or in vegetative state. In any case, one has to continue supportive care and wait and watch for any recovery.
I hope it helps. Please get back if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Thank you for posting your query.
It is unfortunate that your mother suffered a major brain stroke (haemorrhage), resulting in damage to several parts of brain. Some degree of brain injury is permanent, however, some improvement would occur. Detailed neurological examination, along with tests like EEG and PET scan can help us diagnose her current status, whether she is conscious or in vegetative state. In any case, one has to continue supportive care and wait and watch for any recovery.
I hope it helps. Please get back if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
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