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ask: What does it mean when in a coma and can open eyes and blink on command

By kljmiller54
 
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Anonymous

This could be a case when patient regained consciousness but exhibits signs of neuronal de-efferentation (resulting in paralysis of all four limbs and the lower cranial
nerves). This condition called “the Locked-In Syndrome”. The most common cause is a lesion of the midpons of the brainstem that interrupts descending cortical control of motor functions. Such patients usually retain control of vertical eye movements and eyelid opening, which can be used to verify their responsiveness.

April 28, 2011 - 9:09am
Cary Cook BSN RN

Hello kljmiller54-

This is extremely difficult to answer without more information about the situation. However, there are many levels of consciousness, and sometimes a person who seems completely unresponsive is able to follow a few simple commands like blink or squeeze my hand. This can mean the person is slowly coming back to consciousness after a severe head injury or brain surgery, but in your case I don't know what it means.

It is a signal that the person is in there and hearing you. We always encouraged family to speak to unconscious relatives on the hospital neurosurgery unit because it seems to help and the patients often remembered things that were said while they seemed completely unconscious.

There are levels of consciousness in between alert and normal, and coma. It may be that the person you are concerned with is in one of these levels. A good source of information is the National Institute of Neurological Disorders and Stroke http://www.ninds.nih.gov/

Please let us know if we can help you further.

April 27, 2010 - 6:32am
Kimboyd (reply to Cary Cook BSN RN)

My brother is 22 years old he was spiked and in a coma for 11 days now he has had his ryes opened blinking and moving them for 2 days he is yawning coughing shivering moving arm a bit and turning head a bit he is also breathing on his own jaw movement swallowing i think he can feel us touching him because when you do his eyes opening and wee have been asking him questions asking him 2 blink once for no and twice for yes and he is doing that when he hears loud noises he jumps is this him coming around or nothing???? Am so scared and confused

February 11, 2013 - 2:45pm
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