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Doctors Lounge - Neurology Answers
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| ilgui
- Sun Apr 26, 2009 7:27 am |
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My nephew, 16 years old, had seizure at age of 11 after falling with face down, and several seizures in a few years later, had brain tumor found out on March 20th. An emergent surgery was opereated in 48 hours because of the sudden
change of conciousness and dilated pupils. It's been more than a month. He is still in comma and suffers vigorous
shaking (seizure?) and decorticate posture hours every day when he seems like to wake up. What caused the shaking? Any
treatment? Thanks so much for any help.
Keena
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| John Kenyon, CNA
- Tue Dec 29, 2009 10:00 pm |
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 Hello -- What's happened with your nephew, the sudden, delayed discovery of a brain tumor with emergent craniotomy, is much like a head trauma, which means the outcome is about as difficult to predict as that of a head trauma, which can be extremely variable. Right now there is likely pressure on the brain or, post-craniotomy more likely within the brain. Diuretics and steroids are the drugs of choice to try and bring down swelling of the brain. Once this is achieved it is, unfortunately, pretty much a waiting game. Almost anything is possible, from prolonged coma to sudden full awakening. Usually it falls somewhere between these two extremes, but the time it takes is often very difficult to predict. Also, the shaking -- seizures -- is normal in this sort of situation.
I hope this is helpful. Please keep us updated here and follow up with us as needed.
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