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Talk to your doctor of your symptoms and they can recommend appropriate treatment options like therapy, medication, or a combination of both. Practice good sleep, avoid caffeine and electronics before bedtime and establish a regular sleep routine, this can help improve insomnia symptoms.

A clot in the brain can lead to paralysis and serious complications. Follow some simple precautions to help manage your condition and prevent further complications like follow your doctor's instructions for medications, monitor blood pressure and cholesterol levels, adopt a healthy lifestyle, take precautions to prevent falls as paralysis can increase the risk of falls and injuries. Also go for regular checkups. 

I cannot provide personalized medical advice or diagnose online. If you are concerned about your son's health and whether he needs shunt surgery, consult with a professional pediatrician or a neurosurgeon. Shunt surgery is recommended for individuals with hydrocephalus or other conditions that cause an abnormal accumulation of cerebrospinal fluid (CSF) in the brain, leading to increased pressure and damage to brain tissue.

Hepatic encephalopathy, which is the cause of her coma, can result in some temporary changes in personality and slow thinking. This is because the liver is not functioning properly and the toxins are building up in the brain. However, these effects might be lessened with treatment and time.