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A Scuffle In The Coma Ward

Discover how fMRI for vegetative states can reveal surprising brain activity in coma patients. Are they more aware than we think?

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A couple of months ago, the BBC TV show Panorama covered the work of a team of neurologists (led by Prof. Adrian Owen) who are pioneering the use of fMRI scanning to measure brain activity in coma patients.

The startling claim is that some people who have been considered entirely unconscious for years, are actually able to understand speech and respond to requests - not by body movements, but purely on the level of brain activation.

However, not everyone was impressed. A group of doctors swiftly wrote a critical response, published in the British Medical Journal as fMRI for vegetative and minimally conscious states: A more balanced perspective

The Panorama programme... failed to distinguish clearly between vegetative vs. minimally conscious states, and gave the impression that 20% of patients in a vegetative state show cognitive responses on fMRI.

There are important differences between the two states. Patients in a vegetative ...

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