What are the signs of waking up after five months of craniotomy?

In this case, coma after craniotomy is considered for head injury, and there will be sequelae for craniotomy considering that the condition is severe, and the peak of cerebral edema after craniotomy is usually within a week. This period can be judged comprehensively by observing the patient's consciousness, vital signs, and other conditions. If cerebral edema is present, dehydrating drugs** such as mannitol and fructose can be used to relieve cerebral edema.

Specifically, it is necessary to make a comprehensive judgment based on the patient's condition. Generally speaking, the recovery of neurological damage takes about half a year, and if it cannot be recovered for more than half a year, it is difficult to recover. You can try acupuncture** to see if you need to give more limb massage to prevent muscle atrophy.

The reason for not waking up after craniotomy is the result of a combination of many aspects, the most decisive of which is whether or not you are awake before craniotomy. If you are awakened before the craniotomy, you will be able to wake up in 1-2 weeks after the craniotomy. This is caused by factors such as cerebral swelling and cerebral vasospasm after surgery, and when the disease is resolved, the person will naturally wake up.

However, if you are in a coma before the craniotomy, it indicates that there is a large area of the cerebral cortex or the brainstem is damaged. At this time, it is not necessary to wake up quickly after surgery, and it is likely to be a long-term vegetative state. It is relatively rare that during the process of craniotomy, certain complications occur, such as recurrence of cerebral hemorrhage and cerebral stem infarction, so that corresponding examinations are required to be identified.

The craniotomy has not come down for five months, what is the sign of waking up? The waking omen is also a vegetative person, it turns out that he hasn't woken up for five months, and the big one is also a vegetative person when he wakes up.

If you don't wake up after five months of craniotomy, it's possible that you're in a vegetative state.

Hello, from the situation you described, the patient has a cranial nerve injury, so the recovery time is related to the recovery of nerve tissue function, and has nothing to do with whether it is a craniotomy and anesthesia.

Guidance: This depends on the severity of the patient's brain injury and the degree of recovery, which generally takes at least 3 days or so, and longer if there are still old blood clots.

Look at the patient's constitution. Condition-dependent. Usually two or three days.

Analysis:

For head injuries and coma caused by surgery, this time is not easy to judge

Relatively speaking, the longer the time, the more unfavorable, most moderate head injury will generally wake up in two or three days, now 10 days without waking up is a very unfavorable outcome, although CT shows that only cerebral edema has no other changes, still can not rule out the possibility of a large number of brain nerve cells damaged in vegetative people. Now the only thing is to continue to strengthen the nutritional cranial nerve drugs, the necessary dehydration** and intravenous nutrition**, etc., and slowly observe.

Problem Analysis:

If the situation is good, after the cerebral edema is reduced, the patient will wake up slowly, generally for 1-2 weeks, if the bleeding is not good, it may not wake up for a long time. So it's hard to say how long it will take to wake up.

The location of the bleeding and whether the operation is timely are very important, we all know that patients with cerebral thrombosis, there is basically no sequelae of thrombolysis within three hours, and more than three hours, either the mouth is crooked or the hands and feet lose functional consciousness. This is because the brain is partially ischemic for a long time, and the opportunity to recover is lost. The same is true for cerebral hemorrhage, because the brain tissue is only more than 200 milliliters in the skull in total, due to the addition of hypertensive hemorrhage, the brain tissue is squeezed, and the brain tissue deviates from the midline coma.

Those with milder symptoms can wake up in about a month.

Everyone** is different.

Whether or not anything else happens after surgery is variable. If everything is normal, you will be able to wake up after the anesthetic has worn off.

Like the first time I was in a car accident and suffered a skull fracture, I had to go under surgery to remove bone fragments. After the operation, it took more than a month to toss before and after the hydrocephalus before he was fully awake. The second time I had a skull repair surgery, I woke up after the anesthesia in the morning and in the afternoon.

The key to craniotomy is to see what to do, many surgeries require craniotomy, what to do after craniotomy?

There are some simple surgeries on the head, although it is said that a craniotomy is required, but after the completion of the patient, the patient can wake up very quickly, within a day.

Problem Analysis:

In this case, if the patient is in a coma before the operation of the intracranial hematoma or other injury, it is difficult to wake up two days after the operation, and the edema period usually subsides before the awakening.

Suggestions: It is recommended to continue to control intracranial pressure, reduce cerebral edema as much as possible, correct hypoxia, etc. If it is a deep coma, it is generally difficult to wake up in a short time due to the influence of the brainstem.

Disease analysis: It mainly depends on what disease is the craniotomy. Generally speaking, craniotomy is nothing more than cerebrovascular accident, brain trauma, brain tumor, brain parasitic disease, brain infectious disease, etc.; In addition to the combination of craniotomy**, it is also necessary to combine the state of the patient before craniotomy, if it is a cerebrovascular disease or brain tumor disease, the patient is awake before surgery, and elective surgery is performed, then the patient should wake up soon after surgery, generally fully awake within 2-8 hours; If it is a severe traumatic brain injury or cerebrovascular accidental craniotomy, and the patient is already in a coma before the operation, then the postoperative awakening time will be relatively long, and at the same time, combined with the degree of surgery, surgical situation, etc., the patient may continue to be in a coma or enter a vegetative state.

Therefore, to analyze in detail, I hope you can explain in detail, because of what disease craniotomy, and what kind of state the patient was in before craniotomy.

Suggestions:

Condition analysis: whether the patient can wake up is mainly related to the severity of the patient's condition and the location of the lesion, not all patients can wake up after surgery, and recovery is a slow process.

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