Vegetative state, minimally conscious state, akinetic mutism and parkinsonism as a continuum of recovery from disorders of consciousness: An exploratory and preliminary study

Rita Formisano, Mariagrazia D'Ippolito, Monica Risetti, Angela Riccio, Chiara Falletta Caravasso, Sheila Catani, Federica Rizza, Antonio Forcina, Maria Gabriella Buzzi

Research output: Contribution to journalArticlepeer-review

Abstract

The aim of this study was to review the usefulness of clinical and instrumental evaluation in individuals with disorders of consciousness (DOC). Thirteen subjects with severe acquired brain injury (ABI) and a diagnosis of DOC were evaluated using the Coma Recovery Scale in its revised version (CRS-R) and a new global disability index, the Post-Coma Scale (PCS). These instruments were administered both by a neutral examiner (professional) and by a professional in the presence of a caregiver. All patients were also scored using the International Classification of Functioning, Disability and Health (ICF). A statistically significant correlation between CRS-R and PCS was demonstrated. However, there also emerged significant differences in responsiveness between professional versus caregiver+professional assessment using the two scales.The emotional stimulation provided by significant others (caregivers) during administration of DOC evaluation scales may improve the assessment of responsiveness.

Original languageEnglish
Pages (from-to)15-24
Number of pages10
JournalFunctional Neurology
Volume26
Issue number1
Publication statusPublished - Jan 2011

Keywords

  • Disorders of consciousness
  • Evaluation scales
  • Minimally conscious state
  • Vegetative state

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

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