<s>[INST] Hello doctor,A 55-year-old female is in coma. Her vital status are fine, but her eyes still shut, and head surgery completed 11 days back. Please help. [/INST] Hello,  Welcome to icliniq.com. She has significant brain insult in the form of left-sided brain infarct and left-sided brain blood clot or bleeding. She may need surgery to remove one part of the skull and preserve in the abdomen for future reimplantation. Consult a neurosurgeon for a decision about surgery. I want more details about her pupils and corneal reflex and breathing pattern. I think she must be on a ventilator, so monitor her properly, go for surgery if your surgeon says. Prognosis is not right if she recovers then also she will have weakness in right side and speech problems. </s>