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- Title
Differentiation between disorders of consciousness and disorders of movement using functional MRI.
- Authors
Kotchoubey, Boris; Tao Yu; Markl, Alexandra; Müller, Friedemann; Birbaumer, Niels; Lang, Simone
- Abstract
The differential diagnosis between disorders of consciousness (DoC), on the one hand, and conditions of severe immobility with aphasia, on the other hand, is extremely difficult. A patient is described whose morphology of brain lesions permitted both kinds of disorder. A battery of functional magnetic resonance imaging (fMRI) examinations was applied indicating that severe DoC was implausible. The following clinical course confirmed this conclusion, resulting in a severe tetraparesis/aphasia, however with clear awareness. The data suggest that fMRI can be very useful in differentiating between severe motor disorders, including a locked-in syndrome, and DoC such as the vegetative state and the minimally conscious state.
- Subjects
MOVEMENT disorders; CONSCIOUSNESS physiology; MAGNETIC resonance imaging of the brain; INTRACEREBRAL hematoma; PERSISTENT vegetative state
- Publication
Grand Rounds, 2011, Vol 11, p60
- ISSN
1470-5206
- Publication type
Case Study
- DOI
10.1102/1470-5206.2011.0015