A Cuban Perspective on Management of Persistent Vegetative State

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1. Verfasser: Calixto Machado
Format: Artículo científico
Sprache:en
Veröffentlicht: Medical Education Cooperation with Cuba 2012
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author Calixto Machado
author_facet Calixto Machado
contents A Cuban Perspective on Management of Persistent Vegetative State Calixto Machado Mario Estévez Rafael Rodríguez Jesús Pérez-Nellar Joel Gutiérrez Maylén Carballo Ana Olivares Marcia Fleitas Alejandro Pando Carlos Beltrán Medicina electroencephalography heart rate variability consciousness disorders minim ally conscious state Persistent vegetative state The C uban G roup for S tudy of D isorders of C onsciousness is developing several research protocols to search for possible pres-ervation of residual brain and autonom ic functions in cases of persistent vegetative and m inim ally conscious states. W e present exam ples show ing the im portance of 3D anatom ic reconstruction of brain structures and M R I tractography for assessing w hite m at-ter connectivity. W e also present results of use of proton m agnetic resonance spectroscopy technique to follow up cognitive recovery in persistent vegetative state patients transitioning to m inim ally conscious state. W e have dem onstrated recognition of a m other’s voice w ith em otional content after zolpidem adm inistration, indicat-ing high-level residual linguistic processing and brain activation despite the patient’s apparent inability to com m unicate. H ence w e differ w ith current thinking that, by defi nition, subjects in persistent vegetative state are isolated from the outside w orld and cannot experience pain and suffering. W e also consider “vegetative state” a pejorative term that should be replaced. 2012 artículo científico 1555-7960 https://www.redalyc.org/articulo.oa?id=437542161003 en http://www.redalyc.org/revista.oa?id=4375 MEDICC Review application/pdf Medical Education Cooperation with Cuba MEDICC Review (Estados Unidos de América) Num.1 Vol.14
format Artículo científico
id redalyc_437542161003
institution Redalyc
language en
publishDate 2012
publisher Medical Education Cooperation with Cuba
spellingShingle A Cuban Perspective on Management of Persistent Vegetative State
Calixto Machado
Medicina
electroencephalography
heart rate variability
consciousness disorders
minim ally conscious state
Persistent vegetative state
A Cuban Perspective on Management of Persistent Vegetative State Calixto Machado Mario Estévez Rafael Rodríguez Jesús Pérez-Nellar Joel Gutiérrez Maylén Carballo Ana Olivares Marcia Fleitas Alejandro Pando Carlos Beltrán Medicina electroencephalography heart rate variability consciousness disorders minim ally conscious state Persistent vegetative state The C uban G roup for S tudy of D isorders of C onsciousness is developing several research protocols to search for possible pres-ervation of residual brain and autonom ic functions in cases of persistent vegetative and m inim ally conscious states. W e present exam ples show ing the im portance of 3D anatom ic reconstruction of brain structures and M R I tractography for assessing w hite m at-ter connectivity. W e also present results of use of proton m agnetic resonance spectroscopy technique to follow up cognitive recovery in persistent vegetative state patients transitioning to m inim ally conscious state. W e have dem onstrated recognition of a m other’s voice w ith em otional content after zolpidem adm inistration, indicat-ing high-level residual linguistic processing and brain activation despite the patient’s apparent inability to com m unicate. H ence w e differ w ith current thinking that, by defi nition, subjects in persistent vegetative state are isolated from the outside w orld and cannot experience pain and suffering. W e also consider “vegetative state” a pejorative term that should be replaced. 2012 artículo científico 1555-7960 https://www.redalyc.org/articulo.oa?id=437542161003 en http://www.redalyc.org/revista.oa?id=4375 MEDICC Review application/pdf Medical Education Cooperation with Cuba MEDICC Review (Estados Unidos de América) Num.1 Vol.14
title A Cuban Perspective on Management of Persistent Vegetative State
topic Medicina
electroencephalography
heart rate variability
consciousness disorders
minim ally conscious state
Persistent vegetative state
url https://www.redalyc.org/articulo.oa?id=437542161003