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A random Abstract
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Is there a cartesian renaissance of the mind or is it time for a new taxonomy for low responsive states?
[locked-in syndrome]
The
mass
media
have
recently
pointed
out
the
likelihood
of
diagnostic
errors
in
post-
coma
patients
.
Late
recoveries
of
consciousness
,
even
after
20
years
,
might
indicate
hidden
misdiagnoses
that
are
not
corrected
over
a
long
period
of
time
.
The
rate
of
misdiagnoses
of
patients
in
a
vegetative
state
is
very
high
when
based
on
behavioral
assessment
strategies
alone
.
An
extremely
restrictive
motor
repertoire
,
as
occurs
in
locked-
in
patients
,
seems
to
be
the
major
factor
responsible
for
diagnostic
confusion
.
Functional
neuroimaging
techniques
are
regarded
as
promising
tools
in
unearthing
covert
awareness
in
behaviorally
unresponsive
patients
who
are
unable
to
produce
any
motor
output
.
However
,
unless
we
believe
that
these
patients
persistently
live
in
an
unconvincing
Cartesian-like
state
,
in
which
thinking
and
acting
are
mutually
dissociated
,
we
have
to
admit
that
a
new
taxonomy
for
low
responsive
states
is
called
for
.
This
taxonomy
should
take
into
account
the
possible
syndromic
overlap
between
disorders
of
consciousness
and
locked-
in
syndrome
.
We
should
suspect
a
"
locked-
in
state
"
in
behaviorally
unresponsive
patients
unless
we
reach
strong
evidence
that
such
is
not
the
case
;
this
is
the
only
way
to
avoid
dramatic
misdiagnoses
.
Diseases
Validation
Diseases presenting
"motor repertoire"
symptom
locked-in syndrome
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