Ask a Neurologist. Get Answers to Your Neurology Questions.
Thanks for your question.
Basically with a glasgow coma scale score of 4 and also having bilateral fixed and dilated pupils means that the prognosis is poor. In this case most of the doctors will not treat the patient aggressively. Also this means that there is a severe brain injury. I am sorry. The chances of him getting back to normal are very low. Please ask a neurosurgeon in the hospital to examine him.
No I meant that based on medical evidence available to date treating aggressively is unlikely to be beneficial. That is the reason that most doctors do not treat aggressively since patients who were treated aggressively in a similar scenario also did not show any benefit.
Please don't forget to rate the answer with a positive rating.