Detection of Brain Activation in Unresponsive Patients with Acute Brain Injury
nejm.orgA dissociation between the absence of behavioral responses to motor commands and the evidence of brain activation in response to these commands in EEG recordings was found in 15% of patients in a consecutive series of patients with acute brain injury.
A total of 16 of 104 unresponsive patients had brain activation detected by EEG at a median of 4 days after injury. The condition in 8 of these 16 patients and in 23 of 88 patients without brain activation improved such that they were able to follow commands before discharge.
A prospective, consecutive series of patients were studied in a single ICU who had acute brain injury from a variety of causes and who were unresponsive to spoken commands, including some patients with the ability to localize painful stimuli or to fixate on or track visual stimuli.