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Detection of visual pursuit in patients in minimally conscious state: a matter of stimuli and visual plane?

Thonnard, Marie; Wannez, Sarah; Keen, Shannan et al.

2014 • In Brain Injury, 28 (9), p. 1164-70

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https://hdl.handle.net/2268/191559

DOI
10.3109/02699052.2014.920521

PubMed
25099021

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Keywords :

Behavioural assessment; disorders of consciousness; minimally conscious state; visual pursuit

Abstract :

[en] OBJECTIVES: The aim of this study was to determine whether the assessment of pursuit eye movements in patients in minimally conscious state (MCS) is influenced by the choice of the visual stimulus (study 1) and by the moving plane (study 2). METHODS: Patients with MCS (MCS- and MCS+) in the acute (<1 month post-injury) or chronic (>1 month) setting were assessed. The Coma Recovery Scale-Revised (CRS-R) procedure was used to test visual pursuit of a moving mirror, object and person (study 1, n = 88) and to test vertical and horizontal visual tracking (study 2, n = 94). RESULTS: Study 1: Patients with visual pursuit tracked preferentially the moving mirror over the moving person or object. Study 2: Patients displaying visual pursuit, especially in MCS- and in chronic setting, preferentially tracked on the horizontal rather than the vertical plane. CONCLUSION: The findings confirm the importance of using a mirror to assess visual pursuit in patients in MCS and of initiating testing using the horizontal plane, specifically in patients in MCS- and those in chronic setting. Assessment should then be done on the vertical plane if visual pursuit is not detected on the horizontal plane.

Disciplines :

Neurology

Author, co-author :

Thonnard, Marie ^✱

Wannez, Sarah ^✱; Université de Liège > Centre de recherches du cyclotron

Keen, Shannan

Brédart, Serge ; Université de Liège > Département de Psychologie > Psychologie cognitive

Bruno, Marie-Aurélie ; Université de Liège > Centre de recherches du cyclotron

Gosseries, Olivia ; Université de Liège > Centre de recherches du cyclotron

Demertzi, Athina ; Université de Liège > Centre de recherches du cyclotron

Thibaut, Aurore ; Université de Liège > Centre de recherches du cyclotron

Chatelle, Camille ; Université de Liège > Centre de recherches du cyclotron

Charland-Verville, Vanessa ; Université de Liège > Centre de recherches du cyclotron

More authors (4 more)

^✱ These authors have contributed equally to this work.

Language :

English

Title :

Detection of visual pursuit in patients in minimally conscious state: a matter of stimuli and visual plane?

Publication date :

2014

Journal title :

Brain Injury

ISSN :

0269-9052

eISSN :

1362-301X

Publisher :

Taylor and Francis, Abingdon, United Kingdom

Volume :

28

Issue :

9

Pages :

1164-70

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 18 January 2016

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Scopus citations^®

32

Scopus citations^®
without self-citations

19

OpenCitations

23

OpenAlex citations

38

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