Article (Scientific journals)
Our rapidly changing understanding of acute and chronic disorders of consciousness: challenges for neurologists
Gantner, Sylvia; BODART, Olivier; Laureys, Steven et al.
2013In Future Neurology, 8 (1), p. 43-54
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Keywords :
behavioral assessment; brain–computer interface; coma; ethics; fMRI; minimally conscious state; unresponsive wakefulness syndrome
Abstract :
[en] A number of recent studies suggest that some ‘vegetative state’ patients have been misdiagnosed, judging by their ability to follow commands and in some cases even communicate through brain activity. Such studies highlight the difficulty in forming a diagnosis based only on behavioral assessments. We think that neuroimaging and electrophysiology methods will be used more frequently in clinical settings, integrated with existing behavioral assessments. Such efforts are expected to lead to a more accurate understanding of individual patients’ cognitive abilities or even provide prognostic indicators. In terms of treatment planning (i.e., pain management and end-of-life decision-making), patients with disorders of consciousness are now offered the possibility of expressing their preferences by means of brain–computer interfaces. What remains to be clarified is the degree to which such indirect responses can be considered reliable and of legal representation.
Disciplines :
Neurology
Author, co-author :
Gantner, Sylvia ;  Université de Liège - ULiège > Centre de recherches du cyclotron
BODART, Olivier  ;  Centre Hospitalier Universitaire de Liège - CHU > Neurologie Sart Tilman
Laureys, Steven  ;  Université de Liège - ULiège > Centre de recherches du cyclotron
Demertzi, Athina  ;  Université de Liège - ULiège > Centre de recherches du cyclotron
Language :
English
Title :
Our rapidly changing understanding of acute and chronic disorders of consciousness: challenges for neurologists
Publication date :
2013
Journal title :
Future Neurology
ISSN :
1479-6708
eISSN :
1748-6971
Publisher :
Future Medicine Ltd
Volume :
8
Issue :
1
Pages :
43-54
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 25 January 2013

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