ADVERTISEMENT

Q. My friend's father is in a coma after a road accident. What is the prognosis?

Answered by
Dr. Vivek Chail
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 26, 2017 and last reviewed on: Sep 25, 2021

Hi doctor,

I need some help with the prognosis of my friend's father, who is in a coma due to a road accident, while he was on a bike. He is 76 years old, and his heart stopped, which was resuscitated after some time. His coma score is minimal, and he is in this state from the past 13 days, with no changes. We would like to find out the prognosis and possible likelihood of coming out of the coma. I am attaching all his test reports.

#

Hi,

Welcome to icliniq.com.

I have seen all the attached reports (attachment removed to protect patient identity).

  • The MRI scan is the most important set of images. It shows changes in the hippocampus and thalamus on both sides. This can be due to a condition called as hypoxic encephalopathy, and it occurred due to decreased blood supply to the brain structures when the heart stopped for some time. The thalamus and hippocampus are important areas of the brain, and the thalamus is the relay center, and therefore the coma score is minimal.
  • In this case, it is really difficult to give an accurate prognosis and the expected time by which the patient will come out of the coma since there has been damage to the nerve cells in a very important area of the brain.
  • In the images, we are visualizing structural changes which occurred in the brain. We also need to know the EEG (electroencephalogram) findings, which will give us an idea of the waves generated in the brain. The EEG patterns can predict prognosis.
  • In research on patients with hypoxic encephalopathy, it was found that the outcome is good if the patient comes out of a coma in four days, and it is bad if coma lasts for longer than 24 days.
  • Sorry, that I am unable to give a precise answer on the prognosis and expected the duration of the coma. However, I hope that I could answer some of your questions.

Please do write back with more doubts. Praying for a quick recovery of the patient. Regards.

For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
My brother is in coma with fungal meningitis. Will he recover?

.. has poor outcome compared to viral or bacterial meningitis. Such fungal infection usually occurs when body immunity is low due to any reason. Sometimes, there may be some permanent cellular level damage to brain cells by such infection. But, ...   Read full

I have problems falling and staying asleep. Please comment on my EEG reports.

.. have seen your reports. (attachment removed to protect patient identity). The EEG (electroencephalogram) looks normal. There is no evidence of epilepetic activity. There are some changes which are benign (marked by blue pen) and no need to worry...   Read full

Do you see any abnormality in the attached EEG report?

Your clinical description is not suggestive of seizure or epilepsy ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


The New COVID Variant From South Africa (Omicron)
The World Health Organisation has enlisted Omicron to be a variant of concern. Just scroll down the article to know abou...  Read more»
Managing Diabetes During Festive Season
All the festivals are indirectly a danger sign for diabetic patients. Read this article to know more about how to handle...  Read more»
What You Should Eat and Drink for A Healthy Life!!
Food is essential for our survival, and what we eat definitely impacts our health. We can easily reduce the risk of many...  Read more»

Ask your health query to a doctor online?

Ask a Radiologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare 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. Read our Editorial Process to know how we create content for health articles and queries.