ISSN: 1899-0967
Polish Journal of Radiology
Established by prof. Zygmunt Grudziński in 1926 Sun
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1/2020
vol. 85
 
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Neuroradiology
abstract:
Case report

The use of functional magnetic resonance imaging techniques in the evaluation of patients with disorders of consciousness: a case report

Katarzyna Gębska-Kośla
1
,
Andrzej Głąbiński
2
,
Magdalena Sabiniewicz
2
,
Tomasz Wolak
3
,
Mariusz Wachowski
1
,
Lidia Kruczykowska
4
,
Agata Majos
4

1.
Department of Radiological and Isotopic Diagnosis and Therapy, Medical University of Lodz, Poland
2.
Department of Neurology and Stroke, Medical University of Lodz, Poland
3.
World Hearing Centre, Institute of Physiology and Pathology of Hearing, Kajetany, Nadarzyn, Poland
4.
Department of Cranio-Maxillofacial and Oncological Surgery, Medical University of Lodz, Poland
© Pol J Radiol 2020; 85: e118-e124
Online publish date: 2020/03/04
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Purpose
The management of patients with disorders of consciousness (DOC) constitutes a challenge for clinicians.

Case report
We present the case of a 66-year-old man who developed coma with subsequent DOC after a severe traumatic brain injury. Behavioural assessment constitutes the gold standard in the evaluation of patients with DOC. In the case presented herein the neuropsychological findings were ambiguous, and the patient underwent functional magnetic resonance imaging (fMRI) to determine whether he was in a vegetative state or minimally conscious state. Three paradigms: passive, active, and resting state fMRI were used to study the brain activity in our patient.

Conclusions
fMRI provided reliable evidence of preserved minimal consciousness. The neuroimaging techniques used in our patient were vital for his further treatment.

keywords:

minimally conscious state, coma, functional MRI

 
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