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
Hello, The blood will ultimately dissolve and shrink and the leftover brain parenchymal 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. It's 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.