Department of Philosophy, Monash University, Victoria, Australia.
The Brain and Mind Institute, University of Western Ontario, London, Ontario, Canada.
Ann Neurol. 2017 Dec;82(6):866-872. doi: 10.1002/ana.25088. Epub 2017 Dec 4.
This article examines the serious shortcomings that characterize the current taxonomy of postcomatose disorders of consciousness (DoC), and it provides guidelines for how an improved DoC taxonomy might be developed. In particular, it is argued that behavioral criteria for the application of DoC categories should be supplemented with brain-based criteria (eg, information derived from electroencephalography and functional magnetic resonance imaging), and that the categorical framework that currently characterizes DoC should be replaced by a multidimensional framework that better captures the performance of patients across a range of cognitive and behavioural tasks. Ann Neurol 2017;82:866-872.
本文探讨了目前昏迷后意识障碍(DOC)分类法存在的严重缺陷,并就如何制定改进的 DOC 分类法提供了指导。特别是,有人认为,DOC 类别的应用行为标准应该辅以基于大脑的标准(例如,从脑电图和功能磁共振成像中获得的信息),并且目前用于描述 DOC 的分类框架应该用多维框架取代,以更好地捕捉患者在一系列认知和行为任务中的表现。神经病学杂志 2017;82:866-872。