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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Stroke

My sister- in- law had a stroke Sunday afternoon. She is in a medically induced coma. They took her off medicine yesterday, she moved around a little, but nothing else. They put her back on meds late yesterday. She is hospitalized in Bakersfield. I live in Los Angeles and have had medical care at UCLA and Cedar Sinai for a Meningioma. Keith Black, M.D. performed my surgery. I have been kept really informed about my condition and the prognosis. We feel the doctors here don t keep us informed about her progress. We don t know if its normal for her to not come up after meds are removed. We don t know if thats usual or not. We did ask last evening if surgery was the next step and did not get a definite statement one way or the other. Are we asking the wrong questions? Is it normal to just sit and wait to see what happens next?
Tue, 2 Dec 2014
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Neurologist,  's  Response
I read your query and I am sorry about what you are going through.
Regarding your question, yes if it is a very large stroke or a stroke in the brainstem it coma is a frequent consequence.
As for the role of surgery it is minor (at least in the more common ischemic stroke), at times it is performed a sort of surgery when the pressure inside is too high and part of the scull is partially removed to allow the brain to expand, but is not a miracle procedure, increases chance of survival but doesn't alter the damage already made by the stroke, it's not like a tumor which can be removed.
So I know it can be frustrating but really it is more a supportive treatment and prevention of stroke re-occurrence in the future, for the current stroke it depends on its size and capacity of the undamaged brain to compensate, only time will show if she'll improve and at what pace.
Hope things work out for the best.
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Suggest Treatment For Stroke

I read your query and I am sorry about what you are going through. Regarding your question, yes if it is a very large stroke or a stroke in the brainstem it coma is a frequent consequence. As for the role of surgery it is minor (at least in the more common ischemic stroke), at times it is performed a sort of surgery when the pressure inside is too high and part of the scull is partially removed to allow the brain to expand, but is not a miracle procedure, increases chance of survival but doesn t alter the damage already made by the stroke, it s not like a tumor which can be removed. So I know it can be frustrating but really it is more a supportive treatment and prevention of stroke re-occurrence in the future, for the current stroke it depends on its size and capacity of the undamaged brain to compensate, only time will show if she ll improve and at what pace. Hope things work out for the best.