Authors
Joseph T Giacino, Douglas I Katz, Nicholas D Schiff, John Whyte, Eric J Ashman, Stephen Ashwal, Richard Barbano, Flora M Hammond, Steven Laureys, Geoffrey SF Ling, Risa Nakase-Richardson, Ronald T Seel, Stuart Yablon, Thomas SD Getchius, Gary S Gronseth, Melissa J Armstrong
Publication date
2018/9/4
Source
Neurology
Volume
91
Issue
10
Pages
450-460
Publisher
Lippincott Williams & Wilkins
Description
Objective
To update the 1995 American Academy of Neurology (AAN) practice parameter on persistent vegetative state and the 2002 case definition on minimally conscious state (MCS) and provide care recommendations for patients with prolonged disorders of consciousness (DoC).
Methods
Recommendations were based on systematic review evidence, related evidence, care principles, and inferences using a modified Delphi consensus process according to the AAN 2011 process manual, as amended.
Recommendations
Clinicians should identify and treat confounding conditions, optimize arousal, and perform serial standardized assessments to improve diagnostic accuracy in adults and children with prolonged DoC (Level B). Clinicians should counsel families that for adults, MCS (vs vegetative state [VS]/unresponsive wakefulness syndrome [UWS]) and traumatic (vs nontraumatic) etiology are associated with …
Scholar articles
JT Giacino, DI Katz, ND Schiff, J Whyte, EJ Ashman… - Neurology, 2018