European academy of neurology guideline on the diagnosis of coma and other disorders of consciousness

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dc.authorid0000-0001-5562-9808
dc.authorid0000-0002-6328-7104
dc.authorid0000-0002-9167-4136
dc.authorid0000-0001-6646-5626
dc.authorid0000-0002-2516-0540
dc.authorid0000-0002-3096-3807
dc.authorid0000-0001-6752-8756
dc.authorid0000-0001-9011-7496
dc.authorid0000-0002-7526-2107
dc.contributor.authorKondziella, D.
dc.contributor.authorBender, A.
dc.contributor.authorDiserens, K.
dc.contributor.authorvan Erp, W.
dc.contributor.authorEstraneo, A.
dc.contributor.authorFormisano, R.
dc.contributor.authorLaureys, S.
dc.contributor.authorNaccache, L.
dc.contributor.authorOzturk, S.
dc.contributor.authorRohaut, B.
dc.contributor.authorSitt, J. D.
dc.contributor.authorStender, J.
dc.contributor.authorTiainen, M.
dc.contributor.authorRossetti, A. O.
dc.contributor.authorGosseries, O.
dc.contributor.authorChatelle, C.
dc.date.accessioned2020-03-26T20:13:58Z
dc.date.available2020-03-26T20:13:58Z
dc.date.issued2020
dc.departmentSelçuk Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground and purpose Patients with acquired brain injury and acute or prolonged disorders of consciousness (DoC) are challenging. Evidence to support diagnostic decisions on coma and other DoC is limited but accumulating. This guideline provides the state-of-the-art evidence regarding the diagnosis of DoC, summarizing data from bedside examination techniques, functional neuroimaging and electroencephalography (EEG). Methods Sixteen members of the European Academy of Neurology (EAN) Scientific Panel on Coma and Chronic Disorders of Consciousness, representing 10 European countries, reviewed the scientific evidence for the evaluation of coma and other DoC using standard bibliographic measures. Recommendations followed the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. The guideline was endorsed by the EAN. Results Besides a comprehensive neurological examination, the following suggestions are made: probe for voluntary eye movements using a mirror; repeat clinical assessments in the subacute and chronic setting, using the Coma Recovery Scale - Revised; use the Full Outline of Unresponsiveness score instead of the Glasgow Coma Scale in the acute setting; obtain clinical standard EEG; search for sleep patterns on EEG, particularly rapid eye movement sleep and slow-wave sleep; and, whenever feasible, consider positron emission tomography, resting state functional magnetic resonance imaging (fMRI), active fMRI or EEG paradigms and quantitative analysis of high-density EEG to complement behavioral assessment in patients without command following at the bedside. Conclusions Standardized clinical evaluation, EEG-based techniques and functional neuroimaging should be integrated for multimodal evaluation of patients with DoC. The state of consciousness should be classified according to the highest level revealed by any of these three approaches.en_US
dc.identifier.citationKondziella, D., Bender, A., Diserens, K., van Erp, W., Estraneo, A., Formisano, R., Laureys, S., Naccache, L., Ozturk, S., Rohaut, B., Sitt, J. D., Stender, J., Tiainen, M., Rossetti, A. O., Gosseries, O., Chatelle, C. 2020). European Academy of Neurology Guideline on the Diagnosis of Coma and Other Disorders of Consciousness. European Journal of Neurology, 27(5), 741-756.
dc.identifier.doi10.1111/ene.14151en_US
dc.identifier.endpage756
dc.identifier.issn1351-5101en_US
dc.identifier.issn1468-1331en_US
dc.identifier.issue5
dc.identifier.pmid32090418en_US
dc.identifier.startpage741
dc.identifier.urihttps://dx.doi.org/10.1111/ene.14151
dc.identifier.urihttps://hdl.handle.net/20.500.12395/37796
dc.identifier.volume27
dc.identifier.wosWOS:000515065900001en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorOzturk, S.
dc.language.isoenen_US
dc.publisherWILEYen_US
dc.relation.ispartofEUROPEAN JOURNAL OF NEUROLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectelectroencephalographyen_US
dc.subjectevoked potentialsen_US
dc.subjectfunctional magnetic resonance imagingen_US
dc.subjectminimally conscious stateen_US
dc.subjectpositron emission tomographyen_US
dc.subjectresting state fMRIen_US
dc.subjecttranscranial magnetic stimulationen_US
dc.subjecttraumatic brain injuryen_US
dc.subjectunresponsive wakefulness syndromeen_US
dc.subjectvegetative stateen_US
dc.titleEuropean academy of neurology guideline on the diagnosis of coma and other disorders of consciousnessen_US
dc.typeArticleen_US

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