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Patients in a vegetative state are often misdiagnosed, but a new brain scan may help

Traditional methods of testing if a patient will recover can be ‘little better than flipping a coin’ in some cases.

A NEW BRAIN scan technique may be able to tell whether a patient in a vegetative state has the potential to recover consciousness.

An article published in The Lancet journal outlines how traditional bedside examinations of patients in different states of unconsciousness lead to misdiagnosis in 40 per cent of cases.

The examinations are used to determine whether patients are in a minimally conscious state, in which there is some evidence of awareness and response to stimuli, or are in a vegetative state also known as unresponsive wakefulness syndrome.

Patients with the latter syndrome have a much lower chance of recovery and the new imagery known positron emission tomography (PET) as could help doctors decide on treatment.

“Our findings suggest that PET imaging can reveal cognitive processes that aren’t visible through traditional bedside tests, and could substantially complement standard behavioural assessments to identify unresponsive or “vegetative” patients who have the potential for long-term recovery”, says study leader Professor Steven Laureys from the University of Liége in Belgium.

The study used the new imagery technology during the course of mental imagery tasks that were being undertaken by the 126 patients who took part.

Jamie Sleigh of the University of Auckland explains how ineffective the current methods of examination can be in some cases:

In patients with substantial cerebral oedema [swelling of the brain], prediction of outcome on the basis of standard clinical examination and structural brain imaging is probably little better than flipping a coin.

One of the drawbacks of the new imagery however is that it may be difficult to roll out in hospitals on a wider basis. The study was carried out in a specialist unit that focuses on the neuroimaging of consciousness disorders and therefore had a level of expertise and equipment that would not be present in most clinics.

Read: Apps from Irish start-up to provide home therapy for stroke sufferers >

Read: New research shows brain tumours can be killed with anti-nausea drug >

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    Mute Phillip Smyth
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    Mar 1st 2025, 10:18 PM

    He is alive and well and living in the White House under another guise.

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    Mute Daniel Skelton
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    Mar 1st 2025, 10:41 PM

    @Phillip Smyth: Don’t say that ffs, you’ll summon the incell Johnny 40 accounts (or whatever his name is)

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    Mute Bert Carolan
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    Mar 1st 2025, 11:11 PM

    @Daniel Skelton: That’s what it’s like alright.

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    Mute Fionn Bohane
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    Mar 2nd 2025, 12:57 AM

    @Phillip Smyth: That’s a very unfair comparison on ogre’s

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    Mute Brian Dunne
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    Mar 2nd 2025, 12:04 AM

    I could listen to John Lithgows voice all day!

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    Mute Basildon Joe
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    Mar 2nd 2025, 9:52 AM

    @Brian Dunne: what is this shitting mess a quiz on kids tv a load of bollox what about adult news?

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    Mute Tasty k
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    Mar 2nd 2025, 2:50 AM

    9/10 = too much

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    Mute Regular John
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    Mar 3rd 2025, 9:55 AM

    @Tasty k:
    Same, got the year for Shrek receiving the star wrong.

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    Mute Phillip Smyth
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    Mar 1st 2025, 11:33 PM

    He gave them Javelins they were surplus to requirements and not used, what a spoofer, he will never be a Roosevelt if it comes to war, at least this time we have Germany with us.

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    Mute Basildon Joe
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    Mar 2nd 2025, 9:53 AM

    @Phillip Smyth: uk leading the war as always don’t worry we will save Ireland but you need to pay the apple money

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    Mute Del Ray
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    Mar 1st 2025, 11:05 PM

    I appreciate Shreks important but still an unusual Saturday news focus given Ukraine. The coverage of the meeting in London with Zelensky is headlines elsewhere. See RTE or BBC.

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    Mute Bert Carolan
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    Mar 1st 2025, 11:12 PM

    @J B: What are you on about?

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    Mute Bert Carolan
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    Mar 1st 2025, 11:57 PM

    @J B: Great answer Einstein.

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    Mute nollaig o cellaigh
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    Mar 1st 2025, 10:10 PM

    7/10. Stupid not knowing that characters name and 2 other answers

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    Mute Oh Mammy
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    Mar 1st 2025, 10:19 PM

    Really? He played for United

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    Mute Pól Pot
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    Mar 2nd 2025, 6:51 AM

    @Oh Mammy: Wasn’t Shrek. That was a balloon with a Weetabix crushed on top.

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    Mute Alex Marquis
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    Mar 2nd 2025, 7:47 PM

    @Oh Mammy: and like a lot of very talented players, he turned out to be a very unconvincing gaffer for Derby, Birmingham City and Plymouth Argyle.

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    Mute offside again
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    Mar 1st 2025, 10:04 PM

    What ? Nothing ! Have I missed something ?

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    Mute Alex Marquis
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    Mar 2nd 2025, 7:38 PM

    He enjoyed a lot of success as a forward for club and country and was briefly England’s leading goal scorer before being overtaken by Harry Kane.

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    Mute Brian D'Arcy
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    Mar 2nd 2025, 3:51 PM

    France and Britain, colonialists supreme, divvying up the minerals of Ukraine for themselves. What a pointless war.

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    Mute Johnny Wilson
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    Mar 2nd 2025, 11:13 AM

    Didn’t the Gardai arrest a bunch of Provos with his posters in a van?

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    Mute Ray Grogan
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    Mar 2nd 2025, 7:07 PM

    I’d say he’d leave some shite behind him

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