I will give this a shot though I am tired right now.
Lendon Gray spoke. She said that Courtney has slowly been opening her eyes. Courtney does follow some movements ... like looking at photographs of her dog and horses (? I think) and she has turned her head a bit to follow the same. She has more movement in her left arm, leg and side in general than her right (maybe she hasn't moved her right side yet?). She has followed her husband ... with her eyes at least and maybe her head.
These injuries are very serious. She had what is called a "brain shear" where the brain is bounced inside the skull hard enough to damage the encasing (I think). Very slow to heal. Said she (Courtney) was very close to the "surface".
Lendon said the support and good tidings from all over the world have been overwhelming and much appreciated.
ETA: I put that in my owns words but tried to stay as close to what was said as I could.
My interpretation of that is that Courtney is showing signs of healing and improvement. She is not in a deep coma with no response at all. This type of movement has happened with patients that do make very good recoveries .... BUT I do not know of the situations where things go differently. There are other people on this BB that have a great deal more experience and knowledge of this type of thing than I do.
But, I think it sounds pretty good under the circumstances of how serious this type of injury is. I do know that a fractured skull IS serious, but has various outcomes.
Last edited by BaroquePony; Mar. 21, 2010 at 08:04 AM.
I just wanted to post a link to one of the best web pages I've seen on traumatic brain injuries, especially covering brain shearing. If this is what occurred with Courtney(and it would be likely to happen) this explains very well what the physical results would be. Perhaps not totally for laymen but if you are really interested, read it carefully and just look in an online dictionary to explain more complex terms. It's very well done.
Just wondering, but would wearing a helmet protect from this type of injury? Obviously it would have helped in the case of a skull fracture, but it seems like the "shaken baby syndrome" injury would be serious, helmet or not?
the axonal shearing can be somewhat reduced when wearing an ASTM or SEI approved helmet, because some of the sudden impact deceleration is slowed and absorbed by the collapsing foam layer. Which is why, once you've had a hit on your helmet, you should replace it. The collapsing foam liner does not go back to its original shape and you can't tell by looking at it that it has partially collapsed.
So yes, this is exactly the type of injury that helmets aim to reduce.
"The Threat of Internet Ignorance: ... we are witnessing the rise of an age of equestrian disinformation, one where a trusting public can graze on nonsense packaged to look like fact."-LRG-AF
Would someone be able to explain the terms 'being awake,' 'conscious,' etc.?
Do those terms mean a patient has emerged from the coma? When she is able to 'follow with her eyes,' etc., what does that actually indicate in terms of her awareness?
Is awareness what the medical people are looking for? Am just confused by all of the above, which I think(?) has been mentioned in various posts, but am not sure what indicates definitive progress, etc...
Did read Rodawn's excellent post, but can't recall on which thread it was posted...
There are varying degrees. As someone else posted, there is a scale, the Glascow coma scale, that quantifies those degrees. You and I would be a '15', we are awake, alert, able to follow commands and answer questions appropriately. Someone deeply unresponsive is a 3-unable to do any of the above.
Here is how the scale is determined:
I. Motor Response
6 - Obeys commands fully
5 - Localizes to noxious stimuli
4 - Withdraws from noxious stimuli
3 - Abnormal flexion, i.e. decorticate posturing
2 - Extensor response, i.e. decerebrate posturing
1 - No response
II. Verbal Response
5 - Alert and Oriented
4 - Confused, yet coherent, speech
3 - Inappropriate words and jumbled phrases consisting of words
2 - Incomprehensible sounds
1 - No sounds
III. Eye Opening
4 - Spontaneous eye opening
3 - Eyes open to speech
2 - Eyes open to pain
1 - No eye opening
From what I have read, would place CKD between an 8-10-just a guess.