缺氧缺血性脑病后持续植物人状态的综合评价与诊断1例。

IF 0.6 4区医学 Q4 CLINICAL NEUROLOGY

Neurocase Pub Date : 2025-02-01 Epub Date: 2024-11-30 DOI:10.1080/13554794.2024.2436682

Guohui Yang, Li Wang, Hongyu Xie, Xinwei Tang, Maisedi Mukedaisihan, Youbei Yang, Chenyu Fan, Junfa Wu, Yi Wu

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引用次数: 0

摘要

我们报告一例39岁的女性持续植物人状态（PVS）后心脏骤停和右下肢骨折。尽管进行了4个多月的全面康复，但没有任何改善。神经电生理和神经影像学评估显示脑功能差，昏迷恢复量表-修正量表结果提示唤醒概率低。此外，PVS患者对外部刺激表现出自主反应性和生理反应。值得注意的是，虽然这些反应可能表现为对外部刺激的反应，但它们应该被解释为自动的生理反应，而不是意识的指示。

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

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.

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来源期刊

Neurocase 医学-精神病学

CiteScore

1.40

自引率

12.50%

发文量

审稿时长

6-12 weeks

期刊介绍： Neurocase is a rapid response journal of case studies and innovative group studies in neuropsychology, neuropsychiatry and behavioral neurology that speak to the neural basis of cognition. Four types of manuscript are considered for publication: single case investigations that bear directly on issues of relevance to theoretical issues or brain-behavior relationships; group studies of subjects with brain dysfunction that address issues relevant to the understanding of human cognition; reviews of important topics in the domains of neuropsychology, neuropsychiatry and behavioral neurology; and brief reports (up to 2500 words) that replicate previous reports dealing with issues of considerable significance. Of particular interest are investigations that include precise anatomical localization of lesions or neural activity via imaging or other techniques, as well as studies of patients with neurodegenerative diseases, since these diseases are becoming more common as our population ages. Topic reviews are included in most issues.