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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Coma After Accident, Twitches Eyes, No Change In Brain Activity. Is There A Chance For Him To Awaken?

hi! my ? is my brother had a horrible accident thrown from a charoit been in a coma for 5 weeks no change his brain activity is at 3. no movement twitches once in awhile his eyes open but no movement in the eye balls at all he has a trachia in his neck for breathing is the twitching a good thing and his eyes opening is this a good thing he has severe brain trauma fractured skull , fractured nose fractured jaw IS THERE A CHANCE FOR HIM TO AWAKEN?
Sat, 7 Jun 2014
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Anesthesiologist,  's  Response
Hello, I'm very sorry to hear about your brother's accident.
Brain injuries are devastating, especially when they leave a loved one in a coma.

I'm a bit confused by your saying his brain activity is at "3". Sometimes people mean that the Glasgow Coma Score is a 3, which means that there is no movement, no eye movement, and no attempt to speak. It represents very severe brain injury.

Random eye opening and muscle twitching in the setting of massive brain injury are never good. They can mean anything from seizures to random discharges of a permenantly damaged brain.

While 5 weeks is not a "long" time in terms of brain injury (especially in young patients), what you describe does not sound good. While there may be a chance for your brother to "awaken" it is likely very very small. If you are asking the possibility that he will ever be "normal", that I'm sorry to say is not a possibility.

It is not my intention to remove your hope of a miracle, but I want you to know where your brother stands in relation to others with similar injuries. My prayers are with you and your family.
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Coma After Accident, Twitches Eyes, No Change In Brain Activity. Is There A Chance For Him To Awaken?

Hello, I m very sorry to hear about your brother s accident. Brain injuries are devastating, especially when they leave a loved one in a coma. I m a bit confused by your saying his brain activity is at 3 . Sometimes people mean that the Glasgow Coma Score is a 3, which means that there is no movement, no eye movement, and no attempt to speak. It represents very severe brain injury. Random eye opening and muscle twitching in the setting of massive brain injury are never good. They can mean anything from seizures to random discharges of a permenantly damaged brain. While 5 weeks is not a long time in terms of brain injury (especially in young patients), what you describe does not sound good. While there may be a chance for your brother to awaken it is likely very very small. If you are asking the possibility that he will ever be normal , that I m sorry to say is not a possibility. It is not my intention to remove your hope of a miracle, but I want you to know where your brother stands in relation to others with similar injuries. My prayers are with you and your family.