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The Art and Science of Distinguishing Disorders of Consciousness

The Art and Science of Distinguishing Disorders of Consciousness

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VEGETATIVE STATE: ALL OF THE<br />

FOLLOWING CRITERIA MUST BE MET<br />

• No evidence <strong>of</strong> sustained, reproducible, purposeful, or<br />

voluntary behavior responses to visual auditory, tactile<br />

or noxious stimuli;<br />

• No evidence <strong>of</strong> language comprehension or expression;<br />

• Intermittent wakefulness manifested by evidence <strong>of</strong><br />

sleep-wake cycles on the EEG<br />

• Periodic eye opening;<br />

• Sufficient preservation <strong>of</strong> autonomic functions to permit<br />

survival with adequate medical care;<br />

• Variable preservation <strong>of</strong> cranial nerve <strong>and</strong> spinal<br />

reflexes;<br />

• Incontinent <strong>of</strong> bowel <strong>and</strong> bladder.

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