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Brainmaster
Brainmaster, Board Certified MD
Category: Neurology
Satisfied Customers: 58
Experience:  ABPN certified. 6 years of outpatient general neurology practice experience. No malpractice cases
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If a comatose patient (no sedatives) cannot execute an

Customer Question

If a comatose patient (no sedatives) cannot execute an effective breathing cycle when tested... What would be prognosis?
Need more info?
Submitted: 7 years ago.
Category: Neurology
Expert:  Donna-moderator replied 7 years ago.
Hi,

Right now we only have one neurology Expert online. He'll be with you as soon as possible. If you would like for me to open your question to our other doctors under the medical category please let me know.

thank you for using Justanswer,

Donna-moderator
Customer: replied 7 years ago.
Thanks, ***** *****
Expert:  Brainmaster replied 7 years ago.

hi

It depends on several things:

1. how long was patient in coma

2. reasons for coma

3. duration on sedatives

4. other comorbidities (ex.asthma, cold, COPD)

5. how quickly tried to take her/him off the respirator

Customer: replied 7 years ago.
Coma was caused by bacterial meningitis...  Patient collapsed at home and was never conscious.  Test was performed after 72 hours of coma.
Expert:  Brainmaster replied 7 years ago.

Unfortunately bacterial meningitis is a bad news.......

if not treated within the first 24 hours - has extremely poor prognosis.

more info needed - how about other vital functions, reflexes and cranial nerve responses?

Customer: replied 7 years ago.

She had Babinski reflex (both feet)

No blink to visual threat

The Doll's Eye Reflex (present but incomplete)

No response to deep pain

Minimal gag reflex

Difficulty regulating body temp and blood pressure

Posturing

Expert:  Brainmaster replied 7 years ago.

this does not look good at all.

as far as you describe - she is lacking most of the cranial nerve function (except minimal CN 9 and 10) this is supported by "posturing"

I am sceptical about ability to comeout of vent and ability to regain any sort of meaningfull function.

sorry

brainmaster

Brainmaster, Board Certified MD
Category: Neurology
Satisfied Customers: 58
Experience: ABPN certified. 6 years of outpatient general neurology practice experience. No malpractice cases
Brainmaster and other Neurology Specialists are ready to help you
Customer: replied 7 years ago.
lt;p>Thanks</p>