Our rapidly changing understanding of acute and chronic disorders of consciousness: challenges for neurologists

Gantner, Sylvia; BODART, Olivier; Laureys, Steven; Demertzi, Athina

doi:10.2217/fnl.12.77

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Our rapidly changing understanding of acute and chronic disorders of consciousness: challenges for neurologists

Gantner, Sylvia; BODART, Olivier; Laureys, Steven et al.

2013 • In Future Neurology, 8 (1), p. 43-54

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https://hdl.handle.net/2268/140555

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10.2217/fnl.12.77

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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 :

Issue :

Pages :

43-54

Peer reviewed :

Peer Reviewed verified by ORBi

Additional URL :

http://www.futuremedicine.com/doi/abs/10.2217/fnl.12.77

Available on ORBi :

since 25 January 2013

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