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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Possible Outcome If Coma Patient Wakes Up After Thalamic Bleed?

Hi, I have a brother who is in coma since Saturday 25/11/11. he collapsed and in CT scan he had apparently a thallamic bleed. He had a Rt ventriculostomy done..Up to now he is still intubated, no sign of life on the right side of his body, his left only reponded to pain. GCS of 7-8..Wat do you think is the prognosis? If he wakes up what may possiblly be the outcome.. Thank you so much
Thu, 23 Jan 2020
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Internal Medicine Specialist 's  Response
Hello,

The blood will ultimately dissolve and shrink and the left over brain parenchyma will resume its working when pressure of this blood is reduced to normal and it always takes time. Your patient is expected to come out of coma once brain pressure is normal. There may be left over deficit on side opposite to affected side. right at moment you should concentrate on physiotherapy of the whole body, timely medications and postural changes to avoid bed sores. Ripple mattress should be used so that once he is out of coma, he has not developed any complication of unconsciousness. Its a time taking process and aim is to maintain life during his critical time.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Muhammad Faisal Bacha, Internal Medicine Specialist
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What Is The Possible Outcome If Coma Patient Wakes Up After Thalamic Bleed?

Hello, The blood will ultimately dissolve and shrink and the left over brain parenchyma will resume its working when pressure of this blood is reduced to normal and it always takes time. Your patient is expected to come out of coma once brain pressure is normal. There may be left over deficit on side opposite to affected side. right at moment you should concentrate on physiotherapy of the whole body, timely medications and postural changes to avoid bed sores. Ripple mattress should be used so that once he is out of coma, he has not developed any complication of unconsciousness. Its a time taking process and aim is to maintain life during his critical time. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Muhammad Faisal Bacha, Internal Medicine Specialist