Reference : Conscious while being considered in an unresponsive wakefulness syndrome for 20 years
Scientific journals : Article
Social & behavioral sciences, psychology : Neurosciences & behavior
http://hdl.handle.net/2268/230784
Conscious while being considered in an unresponsive wakefulness syndrome for 20 years
English
VANHAUDENHUYSE, Audrey mailto [Centre Hospitalier Universitaire de Liège - CHU > Département d'Anesthésie et réanimation > Centre interdisciplinaire d'algologie >]
Charland-Verville, Vanessa mailto [Université de Liège - ULiège > > GIGA : Coma Group >]
Thibaut, Aurore mailto [Université de Liège - ULiège > > GIGA : Coma Group >]
Chatelle, Camille mailto [Université de Liège - ULiège > > GIGA : Coma Group >]
Tshibanda, J.-F. L. [GIGA-Consciousness, Coma Science Group and Neurology Department, University Hospital of Liege, Liege, Belgium, Department of Radiology, University Hospital of Liege and University of Liege, Liege, Belgium]
Maudoux, Audrey mailto [Université de Liège - ULiège > Département des sciences cliniques > Oto-rhino-laryngologie et audiophonologie >]
Faymonville, Marie-Elisabeth mailto [Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques >]
Laureys, Steven mailto [Université de Liège - ULiège > > GIGA : Coma Group >]
Gosseries, Olivia mailto [Université de Liège - ULiège > > GIGA : Coma Group >]
2018
Frontiers in Neurology
Frontiers Media S.A.
9
AUG
Yes (verified by ORBi)
International
16642295
[en] Disorders of consciousness ; EEG ; Locked-in syndrome ; Misdiagnosis ; MRI ; PET ; Unresponsive wakefulness syndrome ; Vegetative state ; Article ; Babinski reflex ; Coma Recovery Scale Revised ; Glasgow coma scale
[en] Despite recent advances in our understanding of consciousness disorders, accurate diagnosis of severely brain-damaged patients is still a major clinical challenge. We here present the case of a patient who was considered in an unresponsive wakefulness syndrome/vegetative state for 20 years. Repeated standardized behavioral examinations combined to neuroimaging assessments allowed us to show that this patient was in fact fully conscious and was able to functionally communicate. We thus revised the diagnosis into an incomplete locked-in syndrome, notably because the main brain lesion was located in the brainstem. Clinical examinations of severe brain injured patients suffering from serious motor impairment should systematically include repeated standardized behavioral assessments and, when possible, neuroimaging evaluations encompassing magnetic resonance imaging and 18F-fluorodeoxyglucose positron emission tomography. © 2018 Vanhaudenhuyse, Charland-Verville, Thibaut, Chatelle, Tshibanda, Maudoux, Faymonville, Laureys and Gosseries.
http://hdl.handle.net/2268/230784
10.3389/fneur.2018.00671

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