Q. Do you have any idea regarding unconscious episodes of my father?

Answered by
Dr. Rajyaguru
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 13, 2016 and last reviewed on: Aug 07, 2020

Hi doctor,

My father is 55 years old. He is good in terms of his health and weight. He recently had a large AVM rupture and he was flown to the nearest hospital. He had a craniotomy to remove AVM and the ICH caused a large stroke. He was left paralyzed on his right side with the capability to speak, but limited. He says a few words here and there, but mostly mumbles or says things that do not fit the context of the present. He is in a rehabilitation where they are supposed to be helping him with this now. My concern is that recently he keeps having the episodes of losing consciousness. For a few times it happened for about 10 minutes and today for over an hour. He was calm and sitting up. He laid back down slowly (with my help, of course) and all of a sudden would not wake up. His vitals were fine though they had put him on oxygen this afternoon, because it was a little low (high 70's and low 80's). He was on it when this occurred. Is there any indication as to why this is happening? He has been sent to the emergency room for it a bunch of times, but each time they send him back after doing a CAT scan. By the time he would see the doctor, he would be awake.

Recently, his medication was changed from Keppra to Lamictal. He has been experiencing a bit of tremors as well and I am not sure if it is the new medicine. They will be scheduling him for a neurologist appointment and an MRI in the upcoming week. Do you have an idea as to why these unconsciousness occurs? He communicates sometimes by saying yes or no, but it is inconsistent. He goes in little stages of being combative, calm, sleeping, aggressive and then basically aware. Could this unconsciousness be one of these? I seem to be the only one extremely concerned about them, but he has not seen a neurologist about it. Please help me.

#

Hi,

Welcome to icliniq.com.

  • When the cortical damage is widespread, the consciousness is impaired.
  • Your father has come out from the deep unconsciousness, he is recovering now. During recovery, this sort of episodes are common and gradually the frequency of this episode would come down.
  • Other factors like hydrocephalus or rebleed can make him drowsy, but those things have been already ruled out by CAT scan.
  • Drop in oxygen saturation may be because of reduced respiratory drive (if the lungs are normal), if you wake him up and ask him to take a deep breath, it may improve just with that.
  • The behavioral changes, which you observe, would improve over a period of time.
  • Apart from the brain dysfunction, his low blood sodium can make him drowsy. I am sure when you went to the emergency room, your doctors would have checked it.

For further information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon


Was this answer helpful?

 | 

Related Questions:
Fetus revealed with mild hydrocephalus. Is it a serious condition?

Cerebral hypoxia can cause damage to fetal brain and child may become spastic ...   Read full

Ultrasound showing mild hydrocephalus. Should I be concerned?

Hydrocephalus means increase in fluid content in the fluid spaces of the brain ... Once baby is delivered, you should get MRI of the brain and spine, within the first week of life ...   Read full

Ibuprofen

Ibuprofen When the pain gets unbearable, it is the medicine that we turn to ... One of the most commonly available or prescribed painkillers is Ibuprofen which is available in the brand names of Brufen, Nurofen, Motrin,...   Read full

 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


Can I undergo surgery for Basal Cell Carcinoma under local anesthesia?

Query: Hello Doctor, I am 60 year old healthy female with medically controlled hypertension. I have Behcet’s disease, though mostly under control. I have had various tropical diseases. I also had hepatitis A at childhood, and TB meningitis. I also have scoliosis.  I have been diagnosed BCC (Basal...  Read Full »

Please go through my dad's CT and tell me how long we can wait for surgery.

Query: Hello doctor, I am looking for a second opinion on my father's CT scan (brain). He has been suffering from mild to severe headaches for about two weeks and is now diagnosed with a clot in his head that is causing a midline shift. I am uploading two sets of CT scan images, the first one on 26th wher...  Read Full »

How can I completely cure paralysis in extremities due to stroke?

Query: Hello doctor, I am 55 years old. For the past 20 years, I have been paralyzed in the right extremities. Initially, I took allopathy treatment but it was not helping. So, took Ayurveda and really it helped a lot. My voice came back but with stuttering. When I talk about something I forget some words...  Read Full »

Also Read


Sinusitis - Causes, Symptoms and Treatment
Sinusitis is the infection of the air cavities within the nasal passages. Normally, the healthy sinuses are filled with ...  Read more»
Asthma and Its Rising Incidence
This article explains about asthma and its causes. It also focuses on the benefits of starting early treatment to lead a...  Read more»
Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»

Ask your health query to a doctor online?

Ask a Neuro Surgeon Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.