Why do coma patients open their eyes?

Classically, return of eye-opening after brain injury is thought to indicate recovery of consciousness or progression to UWS (i.e., wakefulness without clinical signs of awareness).
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What does it mean if you open your eyes while in a coma?

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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Can someone be in a coma with eyes open?

In a prolonged coma state, if the coma lasts beyond a month, the eyes may open but the person remains unresponsive. Medical professionals label the state of unresponsiveness according to when and for how long the eyes open.
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Do coma patients know they are in a coma?

Someone who is in a coma is unconscious and has minimal brain activity. They're alive but can't be woken up and show no signs of awareness. The person's eyes will be closed and they'll appear to be unresponsive to their environment.
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Can a person with no brain activity open their eyes?

Someone in a vegetative state can show signs of being awake. For example, they may open their eyes but not respond to their surroundings. In rare cases, a person in a vegetative state may show some sense of response that can be detected using a brain scan, but not be able to interact with their surroundings.
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Patients Emerge from Persistent Comas and Vegetative States in Nexus Health Systems Program



How long can you be in a coma before they pull the plug?

"Pulling the plug" would render the patient unable to breathe, and the heart would stop beating within minutes, he said. But if a patient is not brain dead and instead has suffered a catastrophic neurological brain injury, DiGeorgia said, he or she could breathe spontaneously for one or two days before dying.
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Can brain activity come back?

Brain death: Irreversible cessation of all functions of the entire brain, including the brain stem. A person who is brain dead is dead, with no chance of revival.
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Why do coma patients cry?

A comatose patient may open his eyes, move and even cry while still remaining unconscious. His brain-stem reflexes are attached to a nonfunctioning cortex. Reflex without reflection. Many professionals speak of this condition as a ''persistent vegetative state.
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What are signs of coma patient waking up?

Signs of coming out of a coma include being able to keep their eyes open for longer and longer periods of time and being awakened from “sleep” easier—at first by pain (pinch), then by touch (like gently shaking of their shoulder), and finally by sound (calling their name).
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What is the longest coma ever recorded?

When Edwarda O'Bara died on 21 November 2012, she had survived 15,663 days (about 42 years) in a coma. Born in 1953, in Miami, Florida, O'Bara suffered a childhood history of diabetes, which she successfully managed with insulin.
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What is the longest coma someone has woken up from?

Annie Shapiro (1913–2003) was a Canadian apron shop owner who was in a coma for 29 years because of a massive stroke and suddenly awakened in 1992. Apart from the patients in the true story Awakenings, Shapiro was the longest a person has been in a coma like state and woken up.
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Can you be unresponsive with eyes open?

Background. Some patients awaken from coma (that is, open the eyes) but remain unresponsive (that is, only showing reflex movements without response to command). This syndrome has been coined vegetative state.
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Can someone hear you in a coma?

They look as if they are asleep. However, the brain of a coma patient may continue to work. It might “hear” the sounds in the environment, like the footsteps of someone approaching or the voice of a person speaking.
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What part of the brain is damaged in a coma?

Comas are caused by damage to the brain, especially if there's bilateral damage to the cerebral cortex (which means damage on both sides), or damage to the reticular activating system. The reticular activating system controls arousal and awareness of the cerebral cortex.
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What are the chances of surviving a coma?

Studies show a very high overall mortality, ranging between 76% and 89%. 5, 6, 7 Of the surviving patients, only very few recover to a good outcome. The majority of the survivors do so with permanent disorders of consciousness or severe disabilities (see Table 1).
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Does talking to someone in a coma help?

Familiar Voices And Stories Speed Coma Recovery

Patients in comas may benefit from the familiar voices of loved ones, which may help awaken the unconscious brain and speed recovery, according to research from Northwestern Medicine and Hines VA Hospital.
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How do they keep coma patients alive?

Some comatose people are unable to breathe on their own and need the help of a ventilator (say: VEN-tih-lay-ter), a machine that pumps air into the lungs through a tube placed in the windpipe. The hospital staff also tries to prevent bedsores in someone who is comatose.
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Can someone on life support hear you?

They do hear you, so speak clearly and lovingly to your loved one. Patients from Critical Care Units frequently report clearly remembering hearing loved one's talking to them during their hospitalization in the Critical Care Unit while on "life support" or ventilators.
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What being in a coma feels like?

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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What test is done to see if someone is brain dead?

A patient properly determined to be brain dead is legally and clinically dead. The diagnosis of brain death is primarily clinical. No other tests are required if the full clinical examination, including an assessment of brain stem reflexes and an apnea test, is conclusively performed.
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How long does it take to determine if someone is brain dead?

After the first clinical exam, the patient should be observed for a defined period of time for clinical manifestations that are inconsistent with the diagnosis of brain death. Most experts agree that a 6 hour observation period is sufficient and reasonable in adults and children over the age of 1 year.
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Does the soul leave the body after brain death?

In brain dead cases, the spirit or soul is usually out of the body, though often the brain dead person's spirit stays with the body until life support is switched off.
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How do people in comas eat?

Because patients who are in a coma can't eat or drink on their own, they receive nutrients and liquids through a vein or feeding tube so that they don't starve or dehydrate. Coma patients may also receive electrolytes -- salt and other substances that help regulate body processes.
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What is the best way to wake someone up from a coma?

Here are eight options that may help stir a sleeper in a safe manner.
  1. Music. A 2020 study that compared a standard alarm clock tone to musical sounds found that people preferred to be roused from their sleep by music. ...
  2. Wake-up lights. ...
  3. Natural light. ...
  4. Phone. ...
  5. Mental stimulation. ...
  6. The right scent. ...
  7. Distant alarm. ...
  8. Stick to a schedule.
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Do people in a coma need a ventilator?

Someone in a coma needs serious medical attention

Someone in a coma often needs a feeding tube and some patients are unable to breathe on their own. In these cases, the patient needs a ventilator to keep breathing.
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