Traumatic brain injury recovery is a long and difficult process with many stages. To help you get an idea of what this process might look like, today we’re covering all the major traumatic brain injury recovery stages.
Coma is common with severe brain injuries, especially injuries that affect the arousal center in the brain stem. Understanding coma can be difficult because there are many levels of coma. In general, coma is “a lack of awareness” of one’s self and surroundings.
The Rancho Level of Cognitive Functioning Scale (LCFS) is a scale used to assess cognitive functioning in people with brain injury. 11 The first three levels are similar to the stages of coma, VS, and MCS. This scale is most often used in the first year after brain injury.
The initial stage after a severe brain injury is a coma, a state of unconsciousness. People in a coma are unaware and unresponsive, but not asleep as there is no sleep-wake cycle. While in a coma, people are unable to speak, follow commands or open their eyes. As a person’s GCS score improves, he or she is considered to be emerging from the coma.
Coma has two principle stages and many intermediary stages. During the first stage of coma patients are incapable of voluntary activities such as eye opening, and speech. ... It presents a radical new approach to the treatment of severe brain injury, one which not all neurosurgeons agree is best for coma patients.
Brain death may result from any lasting or widespread injury to the brain. Medically induced: This type of temporary coma, or deep state of unconsciousness, is used to protect the brain from ...
When brain injury occurs at high speed, the brain rotates inside the skull. This type of rotational movement damages axons (part of the nerve cell), and blood vessels by stetching and tearing them. After a closed head injury, damage can occur in specific brain areas (localized injury) or throughout the brain (diffuse axonal injury).
Most patients follow a general pattern of recovery after a severe brain injury. This pattern is divided into stages. It is important to know each patient is different and may not follow the stages exactly. Patients vary in the amount of time spent at each stage and their recovery may stop at any stage.
the injury itself (the type and location of the injury, the depth and duration of coma, the presence of low blood pressure or oxygen levels after the injury) and current findings (results of physical examinations, radiological studies of the brain, etc.)
Medical professionals measure coma stages by the degree of responsiveness of the brain injured person. In the acute phase of severe brain injury, the Glasgow Coma Scale is used. As the brain injured patient improves or stabilizes, the Rancho Los Amigos Scale is often the better measure, as it has more graduated levels of returning cognitive ...