STATES RELATED TO OR CONFUSED WITH COMA

The permanent vegetative state should be diagnosed when there can be a high degree of certainty of irreversibility (see prognosis). 7 There have been claims that patients who were thought to be in the persistent vegetative state may occasionally make a late recovery with some volitional movement ind...

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Published inJournal of neurology, neurosurgery and psychiatry Vol. 71; no. suppl 1; pp. i18 - i19
Main Author Cartlidge, Niall
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group Ltd 01.09.2001
BMJ Publishing Group LTD
BMJ Group
Subjects
Alzheimer's disease
Brain damage
Coma
Coma - diagnosis
Consciousness
Diagnosis, Differential
Electroencephalography
Head injuries
Humans
Intensive care
Paralysis
Sleep
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Summary:The permanent vegetative state should be diagnosed when there can be a high degree of certainty of irreversibility (see prognosis). 7 There have been claims that patients who were thought to be in the persistent vegetative state may occasionally make a late recovery with some volitional movement indicating awareness. 8 The evidence suggests that such cases are excessively rare if careful and repeated observations are made. A similar clinical picture may sometimes be seen in patients with pontine tumours, pontine haemorrhage, central pontine myelinolysis, head injury or brain stem encephalitis.
Bibliography:PMID:11511737
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ISSN:0022-3050
1468-330X
DOI:10.1136/jnnp.71.suppl_1.i18