A coma is a state of unconsciousness you can't be awakened from. The brain doesn't go through normal sleep cycles and you can't move in response to pain. Comas are caused by brain damage from head injuries or illness. If damage is in certain key regions of the brain, recovery may not be possible.
Someone who is in a coma is unconscious and will not respond to voices, other sounds, or any sort of activity going on nearby. The person is still alive, but the brain is functioning at its lowest stage of alertness. You can't shake and wake up someone who is in a coma like you can someone who has just fallen asleep.
People who do wake up from a coma usually come round gradually. They may be very agitated and confused to begin with. Some people will make a full recovery and be completely unaffected by the coma. Others will have disabilities caused by the damage to their brain.
Severe brain injury is usually defined as being a condition where the patient has been in an unconscious state for 6 hours or more, or a post-traumatic amnesia of 24 hours or more. These patients are likely to be hospitalised and receive rehabilitation once the acute phase has passed.
Severe injuries can cause permanent unconsciousness. Of people with severe injuries, 60% to 80% survive. Many of those who survive are completely unconscious for some period.
Most people do come out of a coma
In some rare cases, a person might stay in a coma for several weeks, months or even years. Depending on what caused the person to go into a coma, some patients are able to return to their normal lives after leaving the hospital.
Can Your Loved One Hear You? During a coma, the individual is unconscious, meaning they are unable to respond to any sounds. However, the brain may still be able to pick up on sounds from loved ones. In fact, some studies suggest talking and touching a loved one while they are in a coma may help them recover.
The person's recovery depends on the cause and severity of the coma, but anyone who falls into a comatose state is at risk of dying. In some cases, there may be a complete recovery with no loss of brain functioning, while in other cases, lifelong brain damage is the result.
Post-traumatic amnesia typically occurs after a survivor wakes up from a coma, a period of unconsciousness. During this time the survivor may not be able to recall certain memories. This can last from a few minutes to a couple weeks, depending on the severity of the brain injury.
And the answer is yes. The brain is incredibly resilient and possesses the ability to repair itself through the process of neuroplasticity. This phenomenon is the reason why many brain injury survivors can make astounding recoveries.
Whether they dream or not probably depends on the cause of the coma. If the visual cortex is badly damaged, visual dreams will be lost; if the auditory cortex is destroyed, then they will be unable to hear dreamed voices.
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'.
In a coma, a patient is alive and there is some brain activity. Depending on the severity of the injury, recovery time varies and comas can be temporary or permanent. Patients in a coma might have brain stem responses, spontaneous breathing and/or non-purposeful motor responses.
An individual with post-coma unresponsiveness has regained a normal sleep/wake cycle and should be able to open and close their eyes, as well as react to loud noises. While these may appear to be signs of consciousness, they are actually the result of involuntary, autonomic responses.
Some people feel they can remember events that happened around them while they were in a coma, while others don't. Some people have reported feeling enormous reassurance from the presence of a loved one when coming out of a coma.
Severe stress, depression, a vitamin B12 deficiency, too little or too much sleep, some prescription drugs and infections can all play a role. Even if those factors don't explain your memory lapses, you don't need to simply resign yourself to memory loss as you age.
This means they will not regain consciousness or be able to breathe without support. A person who is brain dead is legally confirmed as dead. They have no chance of recovery because their body is unable to survive without artificial life support.
A vegetative state is similar to a coma but isn't the same. People in a vegetative state have recovered enough that they aren't in a coma, but their brain's abilities and activity are still very limited. The potential for recovery from a vegetative state varies widely.
Coma patients might feel pleasure and pain like the rest of us.
Elaine Esposito (December 3, 1934 – November 25, 1978) held the record for the longest period of time in a coma according to Guinness World Records, having lost consciousness in 1941 and eventually dying in that condition more than 37 years later.
The standard definition of a comatose patient is someone who is unconscious, is unable to be awakened, and has no signs of awareness or the ability to interact with the environment.
Physicians may not talk to comatose patients for several reasons. Comatose patients do not seem to hear or respond. Speaking may not affect their clinical outcome; time spent with them takes time away from other, more "viable" patients.
Spontaneous eye movements
Roving eye movements are slow, conjugate, lateral, to and fro excursions. These occur when third nerve nuclei and connections are intact and often indicate a toxic, metabolic or alternatively bilateral hemisphere cause for coma.