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Dr. Andrew Rynne

Family Physician

Exp 18 years

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My dad just had a hear attack and now he is in coma, is it normal ?

my dad just had a hear attack and now he is in coma is it normal?
this happened this morning and hes been in coma since...dr say breathing is ok blood pressure is ok and they giving him everything he needs but at the same time they said being in coma for 2 - 3 days is ok but after that its ur decision if u wanna keep him or not...im so scared now...thatjust destroyed me..but my dadys been movin his hands , head and feet, he heares me cuz everytime i call his name he tries i can see hes fighting it and tryin so hard 2 open his eyes....he opened his eyes a few times for few seconds but went back to sleep...so pls tell if any of you have any experiences....is it normal is my dady coming back??plssss i cant lose him...i cant PLS PLS PRAY FOR HIM PLSSS
Fri, 11 Dec 2009
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  User's Response
It is not a heart attack. It is a stroke (suspected). He may be critical till he regains his consciousness. Intracerebral hemorrhage is focal bleeding from a blood vessel in the brain parenchyma. The cause is usually hypertension. Typical symptoms include focal neurologic deficits, often with abrupt onset of headache, nausea, and impairment of consciousness. Diagnosis is by CT or MRI. Treatment includes BP control, supportive measures, and, for some patients, surgical evacuation. Ischemic stroke is focal brain infarction that produces sudden neurologic deficits persisting > 1 h. Common causes are (from most to least common) nonthrombotic occlusion of small, deep cortical arteries (lacunar infarction); cardiogenic embolism; arterial thrombosis that decreases cerebral blood flow; and artery-to-artery embolism. Diagnosis is clinical, but CT or MRI is done to exclude hemorrhage and confirm the presence and extent of stroke. Thrombolytic therapy may be useful acutely in certain patients. Depending on the cause of stroke, carotid endarterectomy, antiplatelet drugs, or warfarin may help reduce risk of subsequent strokes. Subarachnoid hemorrhage is sudden bleeding into the subarachnoid space. The most common cause of spontaneous bleeding is a ruptured aneurysm. Symptoms include sudden, severe headache, usually with loss or impairment of consciousness. Secondary vasospasm (causing focal brain ischemia), meningismus, and hydrocephalus (causing persistent headache and obtundation) are common. Diagnosis is by CT or MRI; if neuroimaging is normal, diagnosis is by CSF analysis. Treatment is with supportive measures and neurosurgery or endovascular measures, preferably in a referral center.
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