Hello,
It would be useful to have the imaging reports to understand the extent of the damage, but however by your account on what the doctors said it is clear it was a case of massive damage.
Frontal damage is commonly associated with apathy and
depression so those episodes where she doesn't seem to be there may be in that setting.
Epileptic seizures would be another possibility so you should watch her for abnormal, even subtle, movements in her face and
limbs.
As for her level of consciousness since it seems she is able to obey some commands, pronounce some phrases and alert I would say her consciousness is intact, inability to communicate is probably related to damage to the language areas, not due to a diminished level of consciousness.
As for expected improvement. Improvement is expected in the first 6 months, afterwards very little can be expected.
However most improvement takes place during the first 3 months, so while there may be some advanced in the next 2-3 months it should be a minor one, she will probably remain bedbound I am afraid.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Olsi Taka, Neurologist