Glasgow Coma Scale

Glasgow Coma Scale measures the consciousness level in a head injury patient. It ranks eye-opening response, verbal response, and motor response. A score less than eight indicates severe head injury, a score between 9 to 12 defines moderate head injury, and between 13 to 15 means mild head injury.

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Can you go through the reports of my relative's daughter and suggest a treatment plan?

Query: Hello doctor, My relative's daughter, who is 16 years old, met with a car accident. She is admitted to the hospital. Please give your suggestions on her case. She is currently undergoing surgery. The below extract was of her case study. The doctors say that the body below her neck is not moving. ...  Read Full »


Dr. Rajyaguru

Answer: Hi, Welcome to icliniq.com. I understand the case scenario. The reason behind her low blood pressure and inability to move all four limbs is actually the cervical spinal cord injury. Surgery is risky because of low blood pressure, but it is possible to operate if the anesthetic team is able to manag...  Read Full »

My father is in coma.Tracheostomy has been done.Is it safe to remove tracheostomy at this stage?

Query: Hello doctor, My father is in coma. Tracheostomy has been done. He is off the ventilator, but has coughing problems. His GCS is 7. Is it safe to remove tracheostomy at this stage?    Read Full »


Dr. Divakara P

Answer: Hi, Welcome to icliniq.com. If his breathing pattern is normal and he is maintaining oxygen saturation in normal limits, he can be considered for tracheostomy closure.  But if there is no significant improvement in GCS (Glasgow Coma Scale) or if not expected to improve, then better remove the trach...  Read Full »

I want to know about my father's prognosis, who is in a coma after a road accident.

Query: 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...  Read Full »


Dr. Vivek Chail

Answer: 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...  Read Full »

My mother is unconscious with high BP and sugar. Is it possible to do MRI now?

Query: Hi doctor, My mother is 65 years old. She is suffering from high blood pressure and high sugar levels. As a result of this, she fell unconscious and her brain has some small blockages and damages. Please help.  Read Full »


Dr. Lalit Bansal

Answer: Hi, Welcome to icliniq.com. I examined the CT scan report (attachment removed to protect patient identity) and clinical assessment. My findings are: On CT scan, I noticed that your mother had 5x4 cm infarct (stroke). The reason for her to fall unconscious might be because of nonconvulsive status epi...  Read Full »

After a cardiac arrest, my aunt became unconscious. How to proceed further?

Query: Hi doctor, My aunt had cardiac arrest 10 days ago. After a gap of 5 to 10 minutes, she has become unconscious. They put her on a ventilator. Till date, she is on a ventilator, and there is no recovery registered. Previously, she had two stents for breathing issues. Her MRI report is attached herewit...  Read Full »


Dr. Rajyaguru

Answer: Hi, Welcome to icliniq.com. I understand the situation. At times, during cardiac arrest, if the brain does not get enough blood for a few minutes, then the brain gets damaged. Once damaged, then brain recovers only minimally. That is the reason why your doctors said no hope. I would like to know a...  Read Full »

What is the treatment for head injury with a blood clot?

Query: Hello doctor, My cousin suffered a massive blow to his head, which resulted in a terrible injury above his ears which extends to the back of his head. He is not responding, but he can breathe on his own, and his body is responding to commands. The doctors said that there is a blood clot in the injur...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. I can give a better opinion after I take a look at your cousin's CT scan. Due to the injury, there is probably a hemorrhage in the brain, leading to damage of the brain, this is giving rise to all his symptoms. Treatment is evacuation and removal of blood from the brai...  Read Full »

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