Can you open your eyes and still be in a coma?

Doctors are not sure why, but sometimes a person in a coma opens his eyes, yet remains in a deep coma, Onyiuke said. Neurologists call this a "persistent vegetative state." "To be in a persistent vegetative state is to be in a coma, but look like you're awake," he said.
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Can someone open their eyes in a coma?

Coma with eye-opening may occur with supratentorial, infratentorial, or global brain insults of various etiologies (e.g., stroke, anoxia). Brainstem involvement either as primary injury or secondary injury due to herniation appears to be a commonality among patients with eyes-open coma.
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Can you be unconscious with your eyes open?

A vegetative state is when a person is awake but is showing no signs of awareness. A person in a vegetative state may: open their eyes. wake up and fall asleep at regular intervals.
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Do eyes respond to light in a coma?

Symptoms. The symptoms of a coma commonly include: Closed eyes. Depressed brainstem reflexes, such as pupils not responding to light.
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What happens when you open an unconscious person's eyes?

As soon as patients open their eyes, they are said to “awaken” from the coma. This does not, however, mean that a person is conscious. Most patients who awaken from a coma soon recuperate. But a minority will succumb to brain death; a brain that is dead is completely destroyed and cannot recover.
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What It's Like To Be In A Coma



How long will a hospital keep someone in a coma?

Typically, a coma does not last more than a few days or couple of weeks. In some rare cases, a person might stay in a coma for several weeks, months or even years. Depending on what caused the person to go into a coma, some patients are able to return to their normal lives after leaving the hospital.
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Can a coma patient hear you?

Comatose patients do not seem to hear or respond. Speaking may not affect their clinical outcome; time spent with them takes time away from other, more "viable" patients. Comatose patients may, however, hear; many have normal brain-stem auditory evoked responses and normal physiologic responses to auditory stimuli.
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What are good signs in a coma?

Signs of vegetative state coma
  • The person looks like they're asleep.
  • They can't wake up, talk or respond to commands.
  • The eyes may open in response to stimuli.
  • The person is able to move their body.
  • Heart rate, blood pressure and respiration continue.
  • The person can randomly laugh, cry or pull faces.
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What are good signs someone is coming out of a coma?

What are the signs of improvement?
  • Stage 1: Unresponsiveness. During this stage the patient does not respond consistently or appropriately. ...
  • Stage 2: Early responses. During this stage the patient starts to respond to things that are happening to them. ...
  • Stage 3: Agitated and confused. ...
  • Stage 4: Higher level responses.
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How can you tell if someone is in a coma or unconscious?

The symptoms of a coma commonly include:
  1. Closed eyes.
  2. Depressed brainstem reflexes, such as pupils not responding to light.
  3. No responses of limbs except for reflex movements.
  4. No response to painful stimuli except for reflex movements.
  5. Irregular breathing.
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What is the difference between coma and unresponsive?

Vegetative state (also known as unresponsive wakefulness syndrome) is when a person is awake, but shows no signs of awareness. This is different to a coma, in which the patient is completely unconscious.
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How long can you be in a coma before brain damage?

Severe brain injury is usually defined as being a condition where the patient has been in an unconscious state for 6 hours or more, or a post-traumatic amnesia of 24 hours or more.
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How many stages of coma are there?

Identify the 4 stages of coma – How long does coma last?
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Is patient in coma living or dead?

Someone who is in a coma is unconscious and will not respond to voices, other sounds, or any sort of activity going on nearby. The person is still alive, but the brain is functioning at its lowest stage of alertness.
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What are the chances of surviving a coma?

Duration of coma

The longer a patient remains in a coma the poorer his or her chance of recovery and the greater the chance that he or she will enter a vegetative state (table 3). By the third day the chance of making a moderate or good recovery is reduced to only 7%, and by the 14th day is as low as 2%.
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What are the chances of waking up from a coma?

The chances of someone recovering from a coma largely depend on the severity and cause of their brain injury, their age and how long they've been in a coma. But it's impossible to accurately predict whether the person will eventually recover, how long the coma will last and whether they'll have any long-term problems.
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How do you keep someone in a coma alive?

The vast majority continue to be kept alive via hydration and nutrition delivered through a feeding tube.
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What are the 6 types of comas?

What Are The Different Categories of Comas?
  • Toxic-Metabolic Encephalopathy. When the kidneys or other organs fail, the body fails to dispose of any toxins correctly. ...
  • Cerebral Hypoxia. ...
  • Persistent Vegetative State (PVS) ...
  • Locked-In Syndrome. ...
  • Brain Death. ...
  • Medically Induced Coma.
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What is the best way to wake someone up from a coma?

Place objects in the person's hands. Use objects with pleasant tactile sensations and different textures such as soft toys, silk scarves or books. Put a bunch of flowers in the person's room or spray their favourite perfume.
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How does a coma feel?

People in a coma are completely unresponsive. They do not move, do not react to light or sound and cannot feel pain. Their eyes are closed. The brain responds to extreme trauma by effectively 'shutting down'.
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Is it good to talk to someone in a coma?

Speaking may not affect their clinical outcome; time spent with them takes time away from other, more "viable" patients. Comatose patients may, however, hear; many have normal brain-stem auditory evoked responses and normal physiologic responses to auditory stimuli.
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Do you cry in a coma?

A person may appear fine, but will not able to speak or respond to commands. Spontaneous movements may occur, and the eyes may open in response to external stimuli. Individuals may even occasionally grimace, cry, or laugh. A coma rarely lasts beyond two to four weeks.
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When do they pull the plug in a coma?

In the vernacular of the house officer, pulling the plug means discontinuing life support in a badly damaged patient whose survival is highly unlikely.
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Does the brain heal itself in a coma?

And the answer is yes. The brain is incredibly resilient and possesses the ability to repair itself through the process of neuroplasticity. This phenomenon is the reason why many brain injury survivors can make astounding recoveries.
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Are people in a coma aware of what is going on around them?

When people are in comas, they are unconscious and cannot communicate with their environment. They cannot speak and their eyes are closed. They look as if they are asleep. However, the brain of a coma patient may continue to work.
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