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Posted by Eileen
on January 29, 2000 at 16:35:46:
In Reply to: Re: Aneurism posted by Charles Young on October 31, 1999 at 14:19:16:
My friend had an aneurism burst on 11/7/99. She had surgery several times. Once to repair the aneurism and again 2 weeks later to remove a portion of her skull due to the extreme swelling and vasospasms. She also suffered several strokes because of the spasms, one was major. She is 38 years old. The Drs finally had to induce a coma as their only chance of saving her. She was in intensive care in Johns Hopkins for about 1-1/2 months. Most of the time she was totally unresponsive. At Christmas time she was moved to Bryn Mawr Rehab in Malvern, Pa and has finally begun to show real signs of recovery. She is now off of the ventilator and feeding tube. Her personality is finally starting to come through. She still will not speak but all feel that she is almost ready to. She has begun to laugh (not quite a sound, but it looks like a real laugh) She will respond to questions by nodding yes or no (mostly accurately) She is able to eat chunky pureed food but must be fed. They are beginning to toilet train her again. I think that eventually she will make a reasonable recovery but will probably always be paralyzed on her right side. I still visit every week, its a long drive and her husband tries to visit weekly (its 3 hrs for him. with 2 small childred to care for) Every week I see an improvement, no matter how small. I am confident that one day I will get my best friend back. Good luck God bless and don't give up hope.
: : Charlie or anyone with any knowledge on comas as a result of an aneurism. My mother is still in a coma after having an aneurism burst on the right side of her brain three weeks ago. She is breathing on her own and all other vital signs are stable. She has now been moved to a facility in their home town. What can we expect now that here comatose state is getting to be "long term"? Do you have any cases you are aware of along these lines. She is 70 years old and was in reasonably good health.
: : thanks, Mark Ellegood
: Mark.. Again, I'm not a doctor but in Barbara's case, Her Neuro-surgical team, chose to keep her in a drug induced, semi-comatose state for around eight days following her surgery, until they were satisfied that her brain swelling had gone down to a reasonable level. They were concerned with vascular spazming around the affected area which can cause stroke like symptoms, durring healing, in some patients.
: Barbara was on the ventilator durring this time because the brain swelling combined with the drugs might cause her to "forget" to breathe. Once the swelling went down and they backed off on the drugs.. they turned the ventilator down and told her to breathe.. She just about enhaled the ventilator tube, so needless to say.. out came the tube.
: I am very glad to hear that your Mother is breathing on her own after two weeks. Although three weeks seems like an eternity, for someone to be comatose, I've heard of situations where patients stay comatose for much longer, and still have a good recovery. I saw some poor folks, in the critical ICU at Imanuel that had been on the ventilator for up to two months, while comatose. Usually when they have to be ventilated for an extended period of time, they install the tube through the Trach. Its much more comfortable, the way I understand it.
: Mark... Barbara and I both, hope your Mother has a speedy recovery once she is able to visit with her family again. The power of positive thinking worked for us.. It will work for you too.. Good luck to You, and Your's.
: Charlie and Barbara Young.