Scientific advances in headache research: an update on neurostimulation; MAGIS, Delphine ![]() in Expert Review of Neurotherapeutics (2013), 13(1), 15-17 Detailed reference viewed: 15 (0 ULg) Insights into hallucinations in schizophrenia: novel treatment approaches; Laroi, Frank ![]() in Expert Review of Neurotherapeutics (2011), 11 Detailed reference viewed: 80 (6 ULg) Assessment and detection of pain in noncommunicative severely brain-injured patients.Schnakers, Caroline ; Chatelle, Camille ; Majerus, Steve et alin Expert Review of Neurotherapeutics (2010), 10(11), 1725-31 Detecting pain in severely brain-injured patients recovering from coma represents a real challenge. Patients with disorders of consciousness are unable to consistently or reliably communicate their ... [more ▼] Detecting pain in severely brain-injured patients recovering from coma represents a real challenge. Patients with disorders of consciousness are unable to consistently or reliably communicate their feelings and potential perception of pain. However, recent studies suggest that patients in a minimally conscious state can experience pain to some extent. Pain monitoring in these patients is hence of medical and ethical importance. In this article, we will focus on the possible use of behavioral scales for the assessment and detection of pain in noncommunicative patients. [less ▲] Detailed reference viewed: 14 (2 ULg) Is there anybody in there? Detecting awareness in disorders of consciousness.; Vanhaudenhuyse, Audrey ; et alin Expert Review of Neurotherapeutics (2008), 8(11), 1719-30 The bedside detection of awareness in disorders of consciousness (DOC) caused by acquired brain injury is not an easy task. For this reason, differential diagnosis using neuroimaging and ... [more ▼] The bedside detection of awareness in disorders of consciousness (DOC) caused by acquired brain injury is not an easy task. For this reason, differential diagnosis using neuroimaging and electrophysiological tools in search for objective markers of consciousness is being employed. However, such tools cannot be considered as diagnostic per se, but as assistants to the clinical evaluation, which, at present, remains the gold standard. Regarding therapeutic management in DOC, no evidence-based recommendations can be made in favor of a specific treatment. The present review summarizes clinical and paraclinical studies that have been conducted with neuroimaging and electrophysiological techniques in search of residual awareness in DOC. We discuss the medical, scientific and ethical implications that derive from these studies and we argue that, in the future, the role of neuroimaging and electrophysiology will be important not only for the diagnosis and prognosis of DOC but also in establishing communication with these challenging patients. [less ▲] Detailed reference viewed: 1 (0 ULg) |
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