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Diagnostic accuracy of the vegetative and minimally conscious state: Clinical consensus versus standardized neurobehavioral assessment |
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| Authors: | Caroline Schnakers Audrey Vanhaudenhuyse Joseph Giacino Manfredi Ventura Melanie Boly Steve Majerus Gustave Moonen Steven Laureys |
| Institution: | 1. Coma Science Group, Cyclotron Research Center, University of Liege, Liege, Belgium 2. New Jersey Neuroscience Institute, Edison, NJ, USA 3. CTR Neurorehabilitation Centre, Université Libre de Bruxelles, Brussels, Belgium 4. Department of Neurology, Centre Hospitalier Universitaire Sart Tilman, University of Liege, Liege, Belgium 5. Department of Cognitive Sciences, Experimental Psychology and Cognitive Neuroscience Research Unit-URPENC, University of Liege, Liege, Belgium |
| Abstract: | BackgroundPreviously published studies have reported that up to 43% of patients with disorders of consciousness are erroneously assigned a diagnosis of vegetative state (VS). However, no recent studies have investigated the accuracy of this grave clinical diagnosis. In this study, we compared consensus-based diagnoses of VS and MCS to those based on a well-established standardized neurobehavioral rating scale, the JFK Coma Recovery Scale-Revised (CRS-R). |
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