reviewNature Reviews NeurologyDec 14, 2020HYBRID OA

Recovery from disorders of consciousness: mechanisms, prognosis and emerging therapies

Massachusetts General Hospital · Center for Neuro-Oncology · +7 more institutions

PubMed
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Abstract

Substantial progress has been made over the past two decades in detecting, predicting and promoting recovery of consciousness in patients with disorders of consciousness (DoC) caused by severe brain injuries. Advanced neuroimaging and electrophysiological techniques have revealed new insights into the biological mechanisms underlying recovery of consciousness and have enabled the identification of preserved brain networks in patients who seem unresponsive, thus raising hope for more accurate diagnosis and prognosis. Emerging evidence suggests that covert consciousness, or cognitive motor dissociation (CMD), is present in up to 15–20% of patients with DoC and that detection of CMD in the intensive care unit can…

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