The complete apallic syndrome ? a case report

Biniek, R.; Ferbert, A.; Rimpel, J.; Paepke, U; Berns, T.; Schuchardt, V.; Heitmann, R.

doi:10.1007/bf01058577

Cited by 15 publications

(2 citation statements)

References 10 publications

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“…Numerous studies confirm that the absence of short-latency CEP is associated with a uniformly unfavorable prognosis 71, 3,5,7,10,11,13,14,21,22,36,46,47,52,53,54,66,677. Most studies did not distinguish between minor and severe deficits among patients who recovered awareness.…”

Section: Discussionmentioning

confidence: 97%

The Utility of Median Somatosensory Evoked Potentials in Anoxic-Ischemic Coma

Rothstein¹

2009

Reviews in the Neurosciences

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The early recognition of comatose patients with a hopeless prognosis--regardless of how aggressively they are managed--is of utmost importance. Median somatosensory evoked potentials (SSEP) supplement and enhance neurological examination findings in anoxic-ischemic coma and are useful as an early guide in predicting outcome. The key finding is that bilateral absence of cortical evoked potentials reliably predicts unfavorable outcome in comatose patients after cardiac arrest. The author studied 50 comatose patients with preserved brainstem function after cardiac arrest. All 23 patients with bilateral absence of cortical evoked potentials died without awakening. Neuropathological study in seven patients disclosed widespread ischemic changes or frank cortical laminar necrosis. The remaining 27 patients with normal or delayed central conduction times had an uncertain prognosis because some died without awakening or entered a persistent vegetative state. The majority of patients with normal central conduction times had a good outcome, whereas a delay in central conduction times increased the likelihood of neurological deficit or death. Greater use of SSEP in anoxic-ischemic coma would identify those patients unlikely to recover and would avoid costly medical care that is to no avail.

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Section: Discussionmentioning

confidence: 97%

The Utility of Median Somatosensory Evoked Potentials in Anoxic-Ischemic Coma

Rothstein¹

2009

Reviews in the Neurosciences

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“…Kassubek et al reported in long-term VS assessed by 15 O-H2O PET residual pain-related cerebral network activity. These authors reported pain-induced activation (hyperperfusion) in the posterior insula/secondary somatosensory cortex (SII), postcentral gyrus/primary somatosensory cortex (SI), and the cingulate cortex contralateral to the stimulus and in the posterior insula ipsilateral to the stimulus.…”

Section: Do Patients With Pvs Suffer?mentioning

confidence: 99%

Persistent Vegetative and Minimally Conscious States

Machado

Korein²

2009

Reviews in the Neurosciences

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The diagnosis and management of patients with persistent vegetative (PVS) and minimally conscious (MCS) states entail powerful medical, ethical and legal debates. The recent description of the MCS highlights the crucial role of unexpected and well-documented recoveries of cognitive functions. Functional neuroimaging has provided new insights for assessing neuropathology and cerebral activity in these patients, providing information on the presence, degree, and location of any residual brain function in patients with PVS or MCS. We present a review on this topic, emphasizing the clinical and neuroimaging assessment of these states, with some of our recent results in this area. We conclude that the development of rehabilitation techniques for patients with PVS and others suffering long-lasting effects of brain injury is a crucial challenge for actual and future generations of neuroscientists.

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Vegetative and Minimally Conscious States and Other Disturbances of Consciousness

Machado

Brain Death

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The complete apallic syndrome ? a case report

Cited by 15 publications

References 10 publications

The Utility of Median Somatosensory Evoked Potentials in Anoxic-Ischemic Coma

The Utility of Median Somatosensory Evoked Potentials in Anoxic-Ischemic Coma

Persistent Vegetative and Minimally Conscious States

Vegetative and Minimally Conscious States and Other Disturbances of Consciousness

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