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The minimally conscious state

Neurology · 2002 · Vol. 58(3) · pp. 349–353
Joseph T. GiacinoStephen AshwalNancy L. ChildsRonald E. CranfordB. JennettDouglas I. KatzJames P. KellyJay H. RosenbergJohn WhyteRoss ZafonteNathan D. Zasler

Abstract

MCS is characterized by inconsistent but clearly discernible behavioral evidence of consciousness and can be distinguished from coma and VS by documenting the presence of specific behavioral features not found in either of these conditions. Patients may evolve to MCS from coma or VS after acute brain injury. MCS may also result from degenerative or congenital nervous system disorders. This condition is often transient but may also exist as a permanent outcome. Defining MCS should promote further research on its epidemiology, neuropathology, natural history, and management.

Traumatic Brain Injury ResearchCardiac Arrest and ResuscitationTraumatic Brain Injury and Neurovascular DisturbancesMinimally conscious stateComa (optics)Persistent vegetative stateNeuropathologyConsciousnessConsciousness DisordersMedicineIntensive care medicineEpidemiologyNatural history

MeSH terms

HumansNeurologic ExaminationPersistent Vegetative State

Funding

  • JFK Medical Center Foundation
  • School of Medicine, Boston University
  • University of Pittsburgh
  • Hennepin County Medical Center
  • Loma Linda University
  • American Academy of Physical Medicine and Rehabilitation
  • University of Glasgow
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