is it better to be comatose with your eyes open than to be comatose with your eyes closed?

coma with eyes open is not necessarily better than coma with eyes closed. the main analysis is as follows:

1. coma with eyes open: the damaged parts are often in the cortex and thalamus of the brain, that is, above the brainstem. in addition to opening the eyes, the clinical manifestations include loss of consciousness, inability to speak, and inability to move the limbs, approaching a vegetative state;

2. eye-closed coma: the damaged part is in the brainstem, including below the midbrain, that is, there is a problem with the ascending reticular activating system. you will not be able to speak or move, and you will basically be unable to open your eyes.

in fact, there is no essential difference between the two situations. they are basically close to a plant state, unable to speak, eat, or move their limbs. in addition, many comas, whether they are coma with eyes open or coma with eyes closed, are basically closed in the early stages of the disease when they first fall ill, so it is difficult to say that coma with eyes open is better than coma with eyes closed.

(warm reminder: medical science sharing. this content does not represent face-to-face consultation. if you feel unwell, please seek medical treatment as soon as possible.)