Article (Scientific journals)
Is oral feeding compatible with an unresponsive wakefulness syndrome?
MELOTTE, Evelyne; MAUDOUX, Audrey; DELHALLE, Sabrina et al.
2018In Journal of Neurology, 265 (4), p. 954-961
Peer Reviewed verified by ORBi
 

Files


Full Text
10.1007%2Fs00415-018-8794-y.pdf
Publisher postprint (1.04 MB)
Request a copy

All documents in ORBi are protected by a user license.

Send to



Details



Abstract :
[en] The aim of the study is to explore the possibility of oral feeding in unresponsive wakefulness syndrome/vegetative state (UWS/VS) patients. Method: We reviewed the clinical information of 68 UWS/VS patients (mean age 45 ± 11; range 16-79 years) searching for mention of oral feeding. UWS/VS diagnosis was made after repeated behavioural assessments using the Coma Recovery Scale–Revised. Patients also had complementary neuroimaging evaluations (positron emission tomography, functional magnetic resonance imaging and electroencephalography and diffusion tensor imaging). Results: Out of the 68 UWS/VS patients, only two could resume oral feeding (3%). The first patient had oral feeding (only liquid and semi liquid) in addition to gastrostomy feeding and the second one could achieve full oral feeding (liquid and mixed solid food). Clinical assessments concluded that they fulfilled the criteria for a diagnosis of UWS/VS. Results from neuroimaging and neurophysiology were typical for the first patient with regard to the diagnosis of UWS/VS but atypical for the second patient. Conclusion: Oral feeding that implies a full and complex oral phase could probably be considered as a sign of consciousness. However, we actually do not know which components are necessary to consider the swallowing conscious as compared to reflex. We also discussed the importance of swallowing assessment and management in all patients with altered state of consciousness.
Disciplines :
Neurology
Author, co-author :
MELOTTE, Evelyne  ;  Centre Hospitalier Universitaire de Liège - CHU > Service de médecine de l'appareil locomoteur
MAUDOUX, Audrey  ;  Centre Hospitalier Universitaire de Liège - CHU > Service d'ORL, d'audiophonologie et de chir. cervico-faciale
DELHALLE, Sabrina ;  Centre Hospitalier Universitaire de Liège - CHU > Service d'ORL, d'audiophonologie et de chir. cervico-faciale
Martial, Charlotte  ;  Université de Liège - ULiège > GIGA : Coma Group
Antonopoulos, Georgios ;  Université de Liège - ULiège > GIGA : Coma Group
Larroque, Stephen  ;  Université de Liège - ULiège > GIGA : Coma Group
Wannez, Sarah 
FAYMONVILLE, Marie-Elisabeth ;  Centre Hospitalier Universitaire de Liège - CHU > Service d'algologie - soins palliatifs
KAUX, Jean-François  ;  Centre Hospitalier Universitaire de Liège - CHU > Service de médecine de l'appareil locomoteur
LAUREYS, Steven   ;  Centre Hospitalier Universitaire de Liège - CHU > Service de neurologie
Gosseries, Olivia   ;  Université de Liège - ULiège > Centre de recherches du cyclotron
VANHAUDENHUYSE, Audrey   ;  Centre Hospitalier Universitaire de Liège - CHU > Service d'algologie - soins palliatifs
 These authors have contributed equally to this work.
Language :
English
Title :
Is oral feeding compatible with an unresponsive wakefulness syndrome?
Publication date :
April 2018
Journal title :
Journal of Neurology
ISSN :
0340-5354
eISSN :
1432-1459
Publisher :
Dr. Dietrich Steinkopff Verlag, Germany
Volume :
265
Issue :
4
Pages :
954-961
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 14 February 2018

Statistics


Number of views
190 (33 by ULiège)
Number of downloads
7 (7 by ULiège)

Scopus citations®
 
20
Scopus citations®
without self-citations
13
OpenCitations
 
15

Bibliography


Similar publications



Contact ORBi