Recovery from Chronic Diseases of Consciousness: State of the Art in Neuromodulation for Persistent Vegetative State and Minimally Conscious State

2017 ◽  
pp. 19-25 ◽  
Author(s):  
Pier Paolo Mattogno ◽  
Giuseppe Barbagallo ◽  
Gerardo Iacopino ◽  
Gaetano Pappalardo ◽  
Giuseppe LA Rocca ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
State Of The Art ◽  
Vegetative State ◽  
Persistent Vegetative State ◽  
Minimally Conscious State ◽  
Conscious State ◽  
Minimally Conscious

scholarly journals Persistent Vegetative State and Minimally Conscious State

2015 ◽  
Author(s):  
Andreas Bender ◽  
Ralf J. Jox ◽  
Eva Grill ◽  
Andreas Straube ◽  
Dorothée Lulé
Keyword(s):  
Vegetative State ◽  
Persistent Vegetative State ◽  
Minimally Conscious State ◽  
Conscious State ◽  
Minimally Conscious

scholarly journals Lo stato neurologico post-coma: le basi neurofisiopatologiche delle scelte etiche

2009 ◽  
Vol 58 (5) ◽  
Author(s):  
Massimo Gandolfini
Keyword(s):  
Differential Diagnosis ◽  
Vegetative State ◽  
Persistent Vegetative State ◽  
Minimally Conscious State ◽  
Conscious State ◽  
Minimally Conscious

L’articolo affronta il tema dello stato vegetativo persistente (SVP) e dello stato di minima coscienza (SMC), esponendone le basi neurofisiopatologiche, correlandole ai più recenti tentativi terapeutici. Si sottolinea, in particolare, l’importanza di una corretta diagnosi differenziale fra i due stati post-coma, considerata l’importanza del fattore tempo per un corretto giudizio prognostico. Infine si affronta il tema della distinzione fra “terapia” e “cura”, con le importanti conseguenze etiche. ---------- The article deals with the persistent vegetative state (SVP) and the minimally conscious state (SMC), explaining their neurophysiopathologic bases and correlating them to the most recent therapeutic attempts. In particular, the importance of a correct differential diagnosis between the two post-coma states is underlined, considering the importance of time as a factor for a correct prognosis. Finally, the the article focuses on the distinction between “therapy” and “care”, with the important ethical consequences.

Disorders of Consciousness, Past, Present, and Future

2019 ◽  
Vol 28 (04) ◽  
pp. 603-615 ◽  
Author(s):  
JOSEPH J. FINS
Keyword(s):  
Independent Living ◽  
Vegetative State ◽  
Persistent Vegetative State ◽  
Minimally Conscious State ◽  
Rehabilitation Medicine ◽  
Conscious State ◽  
Disorders Of Consciousness ◽  
Legal Obligations ◽  
The Right ◽  
Minimally Conscious

Abstract:This paper, presented as the 2019 Cambridge Quarterly Neuroethics Network Charcot Lecture, traces the nosology of disorders of consciousness in light of 2018 practice guidelines promulgated by the American Academy of Neurology, the American College of Rehabilitation Medicine and the National Institute on Disability, Independent Living and Rehabilitation Research. By exploring the ancient origins of Jennett and Plum’s persistent vegetative state and subsequent refinements in the classification of disorders of consciousness—epitomized by the minimally conscious state, cognitive motor dissociation, and the recently described chronic vegetative state—the author argues that there is a counter-narrative to the one linking these conditions to the right to die. Instead, there is a more nuanced schema distinguishing futility from utility, informed by technical advances now able to identify covert consciousness contemplated by Jennett and Plum. Their prescience foreshadows recent developments in the disorders of consciousness literature yielding a layered legacy with implications for society’s normative and legal obligations to these patients.

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