Q. When can we expect consciousness after a surgery for FTP contusion and acute SDH?

Answered by
Dr. J Mariano Anto Bruno Mascarenhas
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 16, 2018

Hi doctor,

My dad is 60 years old. Before 15 days, he met with an accident and was injured on the right side of the head. There was bleeding on both the ears and some cholesterol like thing was there in one ear. We have noticed that, but not sure what it was. We have admitted him in the hospital and he had a surgery for left FTP contusion and acute SDH. He looks like he has eyeball movement inside, but he did not open his eyes still. What is the reason? How many days will be taken to open his eyes? When we speak something to him there is no response from him. Can we expect that he will get conscious? When we give him a pain he is moving his hand and leg, but when we touch him simply, there is no response. What would be the reason? Can we expect him back as he was earlier? He is not speaking anything. The injury was on the right side head and the operation was done on the left side. Would like to know why the operation done on the opposite side? Otherwise, he is passing the urine and motion regularly. I will also attach the scan report. Please look at that and help me on my doubts and provide me the status of him.

Dr. J Mariano Anto Bruno Mascarenhas

Neuro Surgery Neurology Spine Health Spine Surgery
#

Hi,

Welcome to icliniq.com.

I have gone through your query with diligence and would like you to know that I am here to help you.

He is in coma. The time to recovery will be longer and we cannot predict that now. As he is in coma, he can only feel the pain and not touch. Also, he will not be able to react much while in coma.

While in coma, the patient will be unconscious ans so he cannot speak. Moreover, since the injury is on the left side, the speech areas in the brain may be affected.

Some injuries like fracture and EDH (epidural hematoma) occur on the same side. Some like SDH (subdural hematoma) and contusion occur on the opposite side. Since you have mentioned it as SDH and contusion, it would have happened on the opposite side.


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