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Motor behavior unmasks residual cognition in disorders of consciousness
Author(s) -
Pincherle Alessandro,
Jöhr Jane,
Chatelle Camille,
Pignat JeanMichel,
Du Pasquier Renaud,
Ryvlin Philippe,
Oddo Mauro,
Diserens Karin
Publication year - 2019
Publication title -
annals of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.764
H-Index - 296
eISSN - 1531-8249
pISSN - 0364-5134
DOI - 10.1002/ana.25417
Subject(s) - consciousness disorders , persistent vegetative state , glasgow coma scale , cognition , consciousness , psychology , coma (optics) , physical medicine and rehabilitation , level of consciousness , minimally conscious state , clinical psychology , psychiatry , medicine , neuroscience , psychotherapist , physics , optics
Disorders of consciousness (DOC) are a common consequence of severe brain injuries, and clinical evaluation is critical to provide a correct diagnosis and prognosis. The revised Motor Behavior Tool (MBT‐r) is a clinical complementary tool aiming to identify subtle motor behaviors that might reflect residual cognition in DOC. In this prospective study including 30 DOC patients in the early stage after brain injury, we show that the revised MBT‐r has an excellent inter‐rater agreement and has the ability to identify a subgroup of patients, underestimated by the Coma Recovery Scale‐Revised, showing residual cognition and a subsequent recovery of consciousness. ANN NEUROL 2019;85:443–447.