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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Brain Damage Severe, Medically Induced Coma, Dialated Pupils, Reacts To Pain. Prognosis?

my friend has been in a medically induced coma for a week and a half now following a car accident, she was dead at the scene, dr.s trying to wean her off meds but her body couldnt handle it. she has recently opened her eyes and has dialated pupils, reacts to pain and moves her arm from time to time and when certain people talk to her, her icp goes up. what does all this mean and how does it affect her outcome. They are doing tests tomorrow to see how bad her brain injury really is. First diagnosis was severe brain damage .
posted on Sun, 12 Aug 2012
Twitter Tue, 14 Aug 2012 Answered on
Twitter Tue, 14 Aug 2012 Last reviewed on
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Neurologist,  's  Response
Hello,
She does seem to have suffered severe brain damage. The fact that she has started responding and moving is gladdening. One and a half week in coma is a long period and it may take a longer time for her to return to normalcy. The undamaged brain slowly adapts to perform the role of damaged portions of brain. It is a slow process and she will need medical care and supervision during this period. The final outcome in such cases can not be predicted during the early part.
Good luck.
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Brain Damage Severe, Medically Induced Coma, Dialated Pupils, Reacts To Pain. Prognosis?

Hello, She does seem to have suffered severe brain damage. The fact that she has started responding and moving is gladdening. One and a half week in coma is a long period and it may take a longer time for her to return to normalcy. The undamaged brain slowly adapts to perform the role of damaged portions of brain. It is a slow process and she will need medical care and supervision during this period. The final outcome in such cases can not be predicted during the early part. Good luck.