Unresponsive wakefulness syndrome.
نویسندگان
چکیده
Recent studies providing evidence for preserved awareness in some behaviorally unresponsive patients stress the need to improve diagnosis in patients with disorders of consciousness - and stress the possible dissociation between responsiveness and preserved consciousness. Because active paradigms can only bring information in the few cases where they return positive, a major effort is needed to setup ancillary markers evaluating the brain's ability to generate consciousness without requiring the patients' collaboration - in this context, research on neural correlates of consciousness and coma science progress hand in hand.
منابع مشابه
Predicting outcome from subacute unresponsive wakefulness syndrome or vegetative state.
Predicting recovery of consciousness in patients who survive their coma but evolve to a vegetative state (recently coined unresponsive wakefulness syndrome) remains a challenge. Most previous prognostic studies have focused on the acute coma phase. A novel outcome scale (combining behavioural, aetiology, electroencephalographic, sleep electroencephalographic and somatosensory evoked potential d...
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OBJECTIVE Can stimulation of nerve growth factors by focused transcranial extracorporeal shock wave therapy (TESWT) be made effective for persons within unresponsive wakefulness syndrome (apallic syndrome)? DESIGN Between eight and 18 years after the brain lesion, five patients with unresponsive wakefulness syndrome of differing severity received TESWT with the device Duolith (Storz Medical) ...
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BACKGROUND Very severe traumatic brain injury may cause disorders of consciousness in the form of coma, unresponsive wakefulness syndrome (also known as vegetative state) or minimally conscious state. Previous studies of outcome for these patients largely pre-date the 2002 definition of minimally conscious state. OBJECTIVES To establish the numbers of patients with disorder of consciousness a...
متن کاملIntrinsic functional connectivity differentiates minimally conscious from unresponsive patients.
Despite advances in resting state functional magnetic resonance imaging investigations, clinicians remain with the challenge of how to implement this paradigm on an individualized basis. Here, we assessed the clinical relevance of resting state functional magnetic resonance imaging acquisitions in patients with disorders of consciousness by means of a systems-level approach. Three clinical cent...
متن کاملUnresponsive wakefulness syndrome: a new name for the vegetative state or apallic syndrome
BACKGROUND Some patients awaken from coma (that is, open the eyes) but remain unresponsive (that is, only showing reflex movements without response to command). This syndrome has been coined vegetative state. We here present a new name for this challenging neurological condition: unresponsive wakefulness syndrome (abbreviated UWS). DISCUSSION Many clinicians feel uncomfortable when referring ...
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عنوان ژورنال:
- Archives italiennes de biologie
دوره 150 2-3 شماره
صفحات -
تاریخ انتشار 2012