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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Movement In A Medically Induced Coma Patient, A Reflex Movements?

Hi. My 25 year old nephew has been in a medically induced coma following a tbi one week ago. They have reduced his sedation and he has been moving and twitching but also recipes when his aural temperature is taken and when his eyes are exposed to light (he has patches on them due to trauma). Are these signs that he is becoming aware or are they just reflex movements?
Wed, 12 Oct 2016
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Neurologist 's  Response
Hello!

Thank you for asking on HCM!

Regarding your concern, I would explain that these movements may be just reflexes, related to different stimuli (light, electrolyte changes,etc.).

Anyway, a careful neurological examination (the brainstem reflexes, reaction to the pain or sound) are necessary to give a more adequate answer to your question.

You should discuss with his attending physician on these issues.

Hope to have been helpful!

Kind regards,

Dr. Aida
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Is Movement In A Medically Induced Coma Patient, A Reflex Movements?

Hello! Thank you for asking on HCM! Regarding your concern, I would explain that these movements may be just reflexes, related to different stimuli (light, electrolyte changes,etc.). Anyway, a careful neurological examination (the brainstem reflexes, reaction to the pain or sound) are necessary to give a more adequate answer to your question. You should discuss with his attending physician on these issues. Hope to have been helpful! Kind regards, Dr. Aida