Towards a more precise neurophysiological assessment of cognitive functions in patients with disorders of consciousness
| Autor: | Sandra Veser, Simone Lang, Boris Kotchoubey, Andrea Kübler, Cornelia Herbert, Ruben G. L. Real |
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| Rok vydání: | 2013 |
| Předmět: |
media_common.quotation_subject
Inference Disorders of consciousness Neuropsychological Tests Sensitivity and Specificity Developmental psychology Developmental Neuroscience medicine Humans In patient Evoked Potentials media_common Brain Electroencephalography Cognition Neurophysiology medicine.disease Test (assessment) Neurology Covert Consciousness Disorders Neurology (clinical) Consciousness Cognition Disorders Psychology Cognitive psychology |
| Zdroj: | Restorative Neurology and Neuroscience. 31:473-485 |
| ISSN: | 0922-6028 |
| Popis: | Purpose: To analyze the principles that guide inference of covert cognitive functions and consciousness in patients with extremely severe brain damage on the basis of neurophysiological test results. Methods: (1) A quantitative analysis of a range of possible inferences based on neurophysiological findings in low- and nonresponsive patients; (2) a logical analysis of the various possible orders of application of neurophysiological tests in such patients. Results: Surprisingly, improvement of neurophysiological test qualities contributes to the improvement of diagnostic results less than some other factors, such as the structure of the patient population, the quality of the previous clinical diagnosis, and the variability of the methods used. Conclusions: A sequential decision procedure is suggested. Different test paradigms should be combined most effectively to arrive at a reliable evaluation of cognitive functions in this patient population. |
| Databáze: | OpenAIRE |
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