Research Institute, Casa Colina Hospital and Centers for Healthcare , Pomona, CA, USA.
Expert Rev Neurother. 2020 Oct;20(10):997-1004. doi: 10.1080/14737175.2020.1796641. Epub 2020 Aug 1.
New guidelines regarding the diagnosis of disorders of consciousness (DOC) (such as vegetative state and minimally conscious state) have recently been published by the American Academy of Neurology and the European Academy of Neurology. This follows an impressive number of prospective studies performed on DOC and recent multi-centric studies with larger sample size, which have gathered precious information on the recovery of cohort of patients through years and which now call for a better management of patients with DOC.
This review will discuss recent updates on the clinical entities of DOC, the challenges for an accurate diagnosis and the last developments in diagnostic tools.
The authors will also discuss the impact of the new guidelines on their way of diagnosing patients and how diagnosis will most likely change in a near future.
美国神经病学学会和欧洲神经病学学会最近发布了关于意识障碍（DOC）（如植物状态和最小意识状态）诊断的新指南。这是在对 DOC 进行了大量前瞻性研究以及最近进行的具有更大样本量的多中心研究之后得出的，这些研究多年来收集了关于患者恢复的宝贵信息，现在需要更好地管理 DOC 患者。
本综述将讨论 DOC 的临床实体的最新更新，准确诊断的挑战以及诊断工具的最新发展。
作者还将讨论新指南对他们诊断患者的方式的影响，以及在不久的将来诊断可能会如何变化。
