Measuring consciousness in coma and related states

World J Radiol. 2014 Aug 28;6(8):589-97. doi: 10.4329/wjr.v6.i8.589.

Abstract

Consciousness is a prismatic and ambiguous concept that still eludes any universal definition. Severe acquired brain injuries resulting in a disorder of consciousness (DOC) provide a model from which insights into consciousness can be drawn. A number of recent studies highlight the difficulty in making a diagnosis in patients with DOC based only on behavioral assessments. Here we aim to provide an overview of how neuroimaging techniques can help assess patients with DOC. Such techniques are expected to facilitate a more accurate understanding of brain function in states of unconsciousness and to improve the evaluation of the patient's cognitive abilities by providing both diagnostic and prognostic indicators.

Keywords: Disorders of consciousness; Magnetic resonance imaging; Minimally conscious state; Neuroimaging; Transcranial magnetic stimulation/electroencephalography; Vegetative state/unresponsive wakefulness syndrome.

Publication types

  • Review