Guldenmund P, Stender J, Heine L, Laureys S
Coma Science group, Cyclotron Research Center and Department of Neurology, University of Liège and University Hospital of Liège, Sart-Tilman B30, 4000 Liège, Belgium.
Crit Care Res Pract. 2012;2012:624724. doi: 10.1155/2012/624724. Epub 2012 Nov 14.
Diagnosis of patients with disorders of consciousness (comprising coma, vegetative state/unresponsive wakefulness syndrome, and minimally conscious state) has long been dependent on unstandardized behavioral tests. The arrival of standardized behavioral tools, and especially the Coma Recovery Scale revised, uncovered a high rate of misdiagnosis. Ancillary techniques, such as brain imaging and electrophysiological examinations, are ever more often being deployed to aid in the search for remaining consciousness. They are used to look for brain activity patterns similar to those found in healthy controls. The development of portable and cheaper devices will make these techniques more widely available.
意识障碍患者(包括昏迷、植物状态/无反应觉醒综合征和最低意识状态)的诊断长期以来一直依赖于未标准化的行为测试。标准化行为工具的出现,尤其是修订后的昏迷恢复量表,揭示了误诊率很高的情况。辅助技术,如脑成像和电生理检查,越来越多地被用于协助寻找残留意识。它们被用来寻找与健康对照者相似的脑活动模式。便携式和更便宜设备的开发将使这些技术得到更广泛的应用。