| Reference code: | NDE-27 |
| Location: | Arquivo PCA - Pasta 1/Outros Apoios
|
Title:
| Resistance to eye opening in patients with disorders of consciousness
|
| Publication year: | 2018
|
URL:
| https://link.springer.com/article/10.1007%2Fs00415-018-8849-0
|
| Abstract/Results: | ABSTRACT:
INTRODUCTION
Resistance to eye opening (REO) is a commonly encountered phenomenon in clinical practice. We aim to investigate whether REO is a sign of consciousness or a reflex in severely brain-injured patients.
METHODS
We recorded REO in chronic patients with disorders of consciousness during a multimodal diagnostic assessment. REO evaluations were performed daily in each patient and clinical diagnosis of unresponsive wakefulness syndrome (UWS), minimally conscious state with (MCS+) or without (MCS-) preserved language processing was made using the Coma Recovery Scale-Revised (CRS-R).
RESULTS
Out of 150 consecutive patients, 79 patients fit inclusion criteria. REO was seen in 19 patients (24.1%). At the group level, there was a significant relationship between the presence of REO and the level of consciousness. We also observed a difference in the repeatability of REO between patients in UWS, MCS- and MCS+. Out of 23 patients in UWS, six showed REO, in whom five showed atypical brain patterns activation.
CONCLUSION
Our findings suggest a voluntary basis for REO and stress the need for multiple serial assessments of REO in these patients, especially since most patients show fluctuating levels of consciousness.
|
| Accessibility: | Document exists in file
|
Copyright/Reproduction:
| By permission
|
Language:
| eng
|
Author:
| van Ommen, J. H.
|
Secondary author(s):
| Thibaut, T., Vanhaudenhuyse, A., Heine, L., Charland-Verville, V., Wannez, S., Bodart, O., Laureys, S., Gosseries, O.
|
Document type:
| Article
|
Number of reproductions:
| 3
|
Reference:
| van Ommen, J. H., Thibaut, T., Vanhaudenhuyse, A., Heine, L., Charland-Verville, V., Wannez, S., Bodart, O., Laureys, S., & Gosseries, O. (2018). Resistance to eye opening in patients with disorders of consciousness. Journal of Neurology, 265(6), 1376-1380.
|
| 2-year Impact Factor: | 4.204|2018
|
| Times cited: | 20|2025-09-16
|
| Indexed document: | Yes
|
| Quartile: | Q1
|
| Keywords: | Disorders of consciousness / Minimally conscious state / Resistance to eye opening / Unresponsive wakefulness syndrome
|
|