conscious while being considered in an unresponsive wakefulness syndrome for 20 years

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ID: 208769
2018
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Abstract
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.
Reference Key
vanhaudenhuyse2018frontiersconscious Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Audrey Vanhaudenhuyse;Audrey Vanhaudenhuyse;Vanessa Charland-Verville;Aurore Thibaut;Aurore Thibaut;Camille Chatelle;Camille Chatelle;Jean-Flory L. Tshibanda;Jean-Flory L. Tshibanda;Audrey Maudoux;Audrey Maudoux;Marie-Elisabeth Faymonville;Marie-Elisabeth Faymonville;Steven Laureys;Olivia Gosseries
Journal journal of photochemistry and photobiology a: chemistry
Year 2018
DOI
10.3389/fneur.2018.00671
URL
https://www.frontiersin.org/article/10.3389/fneur.2018.00671/full
Keywords
MRI misdiagnosis disorders of consciousness diseases of the nervous system

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