Comprehensive evaluation and diagnosis of persistent vegetative state after hypoxic-ischemic encephalopathy: a case report

被引：0
|
作者：
Yang, Guohui [1 ]
Wang, Li [1 ]
Xie, Hongyu [1 ,2 ,3 ]
Tang, Xinwei [1 ]
Mukedaisihan, Maisedi [1 ]
Yang, Youbei [1 ]
Fan, Chenyu [1 ]
Wu, Junfa [1 ]
Wu, Yi [1 ]
机构：
[1] Fudan Univ, Huashan Hosp, Dept Rehabil Med, Shanghai, Peoples R China
[2] Fudan Univ, Huashan Hosp, Natl Clin Res Ctr Aging & Med, Shanghai, Peoples R China
[3] Fudan Univ, Huashan Hosp, Natl Ctr Neurol Disorders, Shanghai, Peoples R China
来源：
NEUROCASE | 2025年 / 31卷 / 01期
基金：
国家重点研发计划;
关键词：
Ischemic-hypoxic encephalopathy; persistent vegetable state; rehabilitation; neuroimaging; neuroelectrophysiology; MINIMALLY CONSCIOUS STATE; STIMULATION; DISORDERS;
D O I：
10.1080/13554794.2024.2436682
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
We report a case of a 39-year-old woman with persistent vegetative state (PVS) following cardiac arrest and a right lower extremity fracture. Despite comprehensive rehabilitation for over 4 months, there was no improvement. Neuroelectrophysiological and neuroimaging assessments showed poor brain function, and the coma recovery scale-revised scale results suggested low arousal probability. Furthermore, patients with PVS exhibit autonomic reactivity and physiological responses to external stimuli. It is important to note that while these reactions may manifest as responsiveness to external stimuli, they should be interpreted as automatic physiological responses rather than indicative of consciousness.
引用
收藏
页码：17 / 22
页数：6
相关论文
共 50 条
  • [41] Meta-analysis evaluation of the treatment of neonatal hypoxic-ischemic encephalopathy with ganglioside
    Li, Wen
    Yang, Junli
    Zhou, Dong
    Zhang, Jinghui
    Zhuo, Qingcui
    BIOCELL, 2019, 43 (01) : 7 - 11
  • [42] Hypoxic-Ischemic Encephalopathy Evaluated by Brain Autopsy and Neuroprognostication After Cardiac Arrest
    Endisch, Christian
    Westhall, Erik
    Kenda, Martin
    Streitberger, Kaspar J.
    Kirkegaard, Hans
    Stenzel, Werner
    Storm, Christian
    Ploner, Christoph J.
    Cronberg, Tobias
    Friberg, Hans
    Englund, Elisabet
    Leithner, Christoph
    JAMA NEUROLOGY, 2020, 77 (11) : 1430 - 1439
  • [43] MRI Findings in Infants With Infantile Spasms After Neonatal Hypoxic-Ischemic Encephalopathy
    Gano, Dawn
    Sargent, Michael A.
    Miller, Steven P.
    Connolly, Mary B.
    Wong, Peter
    Glass, Hannah C.
    Poskitt, Kenneth J.
    Chau, Vann
    PEDIATRIC NEUROLOGY, 2013, 49 (06) : 401 - 405
  • [44] Elevated temperature after hypoxic-ischemic encephalopathy: Risk factor for adverse outcomes
    Laptook, Abbot
    Tyson, Jon
    Shankaran, Seetha
    McDonald, Scott
    Ehrenkranz, Richard
    Fanaroff, Avroy
    Donovan, Edward
    Goldberg, Ronald
    O'Shea, T. Michael
    Higgins, Rosemary D.
    Poole, W. Kenneth
    PEDIATRICS, 2008, 122 (03) : 491 - 499
  • [45] Cell death and autophagy after severe hypoxic-ischemic encephalopathy in term newborns
    Pittet, M. P.
    Ginet, V.
    Osterheld, M. C.
    Meuli, R.
    Puyal, J.
    Truttmann, A. C.
    SWISS MEDICAL WEEKLY, 2010, 140 (21-22) : 29S - 29S
  • [46] CELL DEATH AND AUTOPHAGY AFTER SEVERE HYPOXIC-ISCHEMIC ENCEPHALOPATHY IN HUMAN NEONATES
    Pittet, M. -P.
    Ginet, V.
    Puyal, J. P.
    Osterheld, M. C.
    Clarke, P. G.
    Truttmann, A. C.
    PEDIATRIC RESEARCH, 2010, 68 : 300 - 300
  • [47] DTI parameters in neonates with hypoxic-ischemic encephalopathy after total body hypothermia
    Longo, D.
    Bottino, F.
    Lucignani, G.
    Scarciolla, L.
    Pasquini, L.
    Rossi Espagnet, M. C.
    Polito, C.
    Figa-Talamanca, L.
    Calbi, G.
    Savarese, I.
    Giliberti, P.
    Napolitano, A.
    JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, 2022, 35 (21): : 4035 - 4042
  • [48] Whole-Blood Gene Expression Profile After Hypoxic-Ischemic Encephalopathy
    Montaldo, Paolo
    Burgod, Constance
    Herberg, Jethro A.
    Kaforou, Myrsini
    Cunnington, Aubrey J.
    Mejias, Asuncion
    Cirillo, Grazia
    Del Giudice, Emanuele Miraglia
    Capristo, Carlo
    Bandiya, Prathik
    Kamalaratnam, Chinnathambi N.
    Chandramohan, Rema
    Manerkar, Swati
    Rodrigo, Ranmali
    Sumanasena, Samanmali
    Krishnan, Vaisakh
    Pant, Stuti
    Shankaran, Seetha
    Thayyil, Sudhin
    JAMA NETWORK OPEN, 2024, 7 (02) : E2354433
  • [49] ATHETOID CEREBRAL-PALSY WITH CYSTS IN THE PUTAMEN AFTER HYPOXIC-ISCHEMIC ENCEPHALOPATHY
    RUTHERFORD, MA
    PENNOCK, JM
    MURDOCHEATON, DM
    COWAN, FM
    DUBOWITZ, LMS
    ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 1992, 67 (07): : 846 - 850
  • [50] NEUROLOGICAL, POLYGRAPHIC, AND ULTRASONOGRAPHIC FINDINGS IN HYPOXIC-ISCHEMIC ENCEPHALOPATHY AFTER PERINATAL ASPHYXIA
    ROSE, T
    HOTH, T
    TEGTMEYER, F
    OTTE, J
    EPILEPSIA, 1988, 29 (03) : 349 - 350
12345