Reforming the taxonomy in disorders of consciousness
Reforming the taxonomy in disorders of consciousness
复制标题
DOI：
10.1002/ana.25088
复制
发表时间：
2017-12-01
影响因子：
11.2
通讯作者：
Owen, Adrian M.
中科院分区：
文献类型：
--
作者：
Bayne, Tim;Hohwy, Jakob;Owen, Adrian M.
本文检视了当前意识障碍(Doc)分类的严重缺陷，并为如何开发改进的Doc分类提供了指南。特别是，有人认为，应用Doc类别的行为标准应该补充基于大脑的标准(例如，来自脑电图学和功能磁共振成像的信息)，并且应该用更好地捕捉患者在一系列认知和行为任务中的表现的多维框架来取代目前表征Doc的分类框架。Ann Neurol 2017；82：866-872
This article examines the serious shortcomings that characterize the current taxonomy of postcomatose disorders of consciousness (DoC), and it provides guidelines for how an improved DoC taxonomy might be developed. In particular, it is argued that behavioral criteria for the application of DoC categories should be supplemented with brain-based criteria (eg, information derived from electroencephalography and functional magnetic resonance imaging), and that the categorical framework that currently characterizes DoC should be replaced by a multidimensional framework that better captures the performance of patients across a range of cognitive and behavioural tasks. Ann Neurol 2017;82:866-872