Detecting Levels of Consciousness

Demertzi, Athina; Laureys, Steven

doi:10.1007/978-94-007-4707-4_39

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Detecting Levels of Consciousness

Demertzi, Athina; Laureys, Steven

2015 • In Levy, N; Clausen, J (Eds.) Handbook of Neuroethics

Peer reviewed

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https://hdl.handle.net/2268/204833

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10.1007/978-94-007-4707-4_39

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Abstract :

[en] Patients with disordered consciousness due to brain injury pose medical and ethical challenges. Rates of clinical misdiagnosis of “vegetative”/unresponsive, minimally conscious and locked-in syndrome states remain challengingly high. Clinical misdiagnosis raises profound ethical concerns in terms of medical management, treatment of pain, and end-of-life decisions. Therefore, valid diagnosis is of utmost importance in clinical settings. A number of neuroimaging and electrophysiology studies now suggest that some behaviorally “vegetative state” patients may nevertheless show atypical cortical activation during resting state conditions; in some cases, they are able to follow commands or even communicate through willfully modified brain activity. Advances in investigating disorders of consciousness with neuroimaging techniques promise to lead to a more accurate understanding of individual patients’ cognitive abilities and to shed light on the gray zones of these clinical conditions. The formulation of an ethical framework which will strike a balance between the protection of these patients and further research on disorders of consciousness is an ethical, clinical, and scientific demand.

Disciplines :

Philosophy & ethics

Author, co-author :

Demertzi, Athina ; Université de Liège > Centre de recherches du cyclotron

Laureys, Steven ; Université de Liège > GIGA : Coma Group

Language :

English

Title :

Detecting Levels of Consciousness

Publication date :

2015

Main work title :

Handbook of Neuroethics

Editor :

Levy, N

Clausen, J

Publisher :

Springer, Dordrecht, Netherlands

ISBN/EAN :

978-94-007-4706-7

Pages :

665-667

Peer reviewed :

Peer reviewed

Available on ORBi :

since 03 January 2017

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102 (5 by ULiège)

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3 (1 by ULiège)

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