Severe cerebral edema, what causes deep coma and how to manage it?
Jun 06, 2023
Source: Cainiu Health
Dr. Yang Jun
Introduction
Severe cerebral edema and deep coma may be caused by factors such as traumatic brain injury, insufficient cerebral blood supply, or intracerebral hemorrhage, and treatment should be tailored according to the specific condition. After brain trauma, adhesions between the dura mater and the cerebral cortex may occur, and extensive proliferation of glial cells might develop, leading to symptoms such as cerebral edema and impaired consciousness. Medications such as carbamazepine tablets or oxcarbazepine tablets can be used for treatment.
Severe cerebral edema and deep coma may be caused by factors such as traumatic brain injury, insufficient cerebral blood supply, or intracerebral hemorrhage. Treatment should be based on the specific condition with appropriate medications. Details are as follows:
1. Traumatic Brain Injury
After head trauma, adhesions between the dura mater and cerebral cortex may occur, and extensive glial cell proliferation might develop, leading to cerebral edema and impaired consciousness. Medications such as carbamazepine tablets or oxcarbazepine tablets may be used under medical guidance.
2. Insufficient Cerebral Blood Supply
This is usually caused by cerebral atherosclerosis or cerebrovascular stenosis, resulting in reduced cerebral blood flow and impaired brain function, which can lead to deep coma. Treatment may include flunarizine hydrochloride capsules or betahistine hydrochloride tablets, taken under a doctor's supervision.
3. Intracerebral Hemorrhage
Following cerebral hemorrhage, involvement of the paracentral lobule or development of large-area cerebral infarction may affect cortical nerves, causing symptoms such as dizziness and vertigo. Medications such as oxiracetam capsules or cerebroprotein hydrolysate tablets may be used according to medical advice.
In addition to the above causes, deep coma could also result from stroke, cerebral infarction, or brain tumors. It is important to get adequate rest and avoid excessive fatigue.
