’ Angelo , PhD , MDa
نویسندگان
چکیده
In this report, we describe the case of a patient who has remained in a comatose state for more than one year after a traumatic and hypoxic brain injury. This state, which we refer to as long-lasting coma (LLC), may be a disorder of consciousness with significantly different features from those of conventional coma, the vegetative state, or brain death. On the basis of clinical, neurophysiological and neuroimaging data, we hypothesize that a multilevel involvement of the ascending reticular activating system is required in LLC. This description may be useful for the identification of other patients suffering from this severe disorder of consciousness, which raises important ethical issues.
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1 PhD, Medical Sciences (MD). 2 PhD, Otorhinolaryngology (Assistant Physician, HCRP-FMRP USP). 3 Professor (Retired Professor, FMRP USP). 4 PhD, Medicine (Professor, FMRP-USP). Send correspondence to: Miguel Angelo Hyppolito. Av. Bandeirantes, no 3900, 12o andar. Monte Alegre. Ribeirão Preto SP. Brazil. CEP: 14048-900. Medical School of Ribeirão Preto University of São Paulo University Hospital...
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