The chances of being awake with a brainstem injury are generally based on the extent of the damage, the location of the damage, the individual’s physical condition, and other relevant circumstances, so it is not possible to estimate the exact chances. Patients with focal damage to the brainstem who are still conscious and have only drowsy symptoms are likely to be awake. Patients with severe damage to the reticular activating system on both sides of the brainstem and symptoms such as impaired consciousness may have a lower chance of waking up. Patients with brain tissue necrosis due to infarction may have a very low chance of awakening. Not all brainstem injuries result in coma, impaired consciousness and other symptoms, but the specific situation depends on the cause of the disease, the location of the bleeding in the brainstem, and the physical condition of the individual, etc. It is recommended to go to the hospital in time to avoid serious consequences.