My little brother has been in a coma for 3 days now after sustaining a head injury to the back of the head while falling backwords on pavment. Right now hospital says that he is in "stable" condition, but would not provided prognosis, which is kind of scaring me.
I am hoping to find a medical doctor or exper who can read the report and provide with at least diagnosis and prognosis. What is the severity of the injury? What is the likelyhood he will wake up from his coma? How long are usually for this kind of case? I need some peace of mind. This report has a lot of medical sense that only a doctor will make sense of the situation.
Technique: Non contrast CT scan of the brain with multiplanar reconstractutions and VRT
Multiple comminuted fractures of teh skull base are seen involving the left occipital bone and extending through the mastoid and petrous part of left temporal bone. Another transverse fracture is also notes at base of right petrouis bone. Fracture of the body sphenoid reaching up to the sella turcica.
High density material (average 40HU) is seen filling both nasal fossae ethmoidal aircells and both sphenoid sinus compartments as well as left mastoid aircless and middle ear cavity.
Large cephalhmeatomas are noted at the left occipitopareiral region.
Diffiuse attenuation of cortical sulci, fissures, basal and perimesencepahlic cisterns and makred narrowing of cerberal.
Totoal loss of gray-white matter descrimination
fresh bloood density is nited within the basal cisterns.
Hi Dr. Nassim,
My brother had an EEG test peformed yesterday, the finding of the report "shows sigins of suggestive brain death".
Is this enough to declare someone a brain dead? Is EEG alone enough to reach this conclusion? What is the possibility that the EEG findings are the result of the seriouse tramatic injury and the person might somehow come out of his coma?
The nuerosurgeon stated that while a flat EEG is an indicator of brain death, it can't be used alone to determine brain death since its only been 3 days since his injury. Some doctors suggested that more tests like "genogram" where some color is given to my brother than some electric shocks applied?
Unfortunately we dont have a clear-cut technique to declare someone's death but the majority of flat EEGs end with a cardiac arrest in the future period, we cannot define the period well because each body and age differently resist to this devastating low brain voltage
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.