The vegetative state is a cognitively unresponsive state inwhich the patient's eyes are open.1 The diagnosis is made clinicallyin patients who are awake but have no behavioral evidence ofawareness of self or the environment. The absence of communication,response to commands, behavioral response to stimulation, andintentional movement confirms the lack of awareness.2,3,4,5The vegetative state is considered persistent if it lasts longerthan 1 month after the injury,5,6 and permanent if it lastsfor 12 months, since improvement after this time is extremelyrare.4,6,7 We report a case of emergence from a permanent vegetativestate.
From the Inpatient Brain Injury Program, Healthcare Rehabilitation Center, Austin, Tex. (N.L.C.), and the Department of Psychiatry, Division of Neuropsychology, Henry Ford Hospital, Detroit (W.N.M.).
Address reprint requests to Dr. Childs at the Inpatient Brain Injury Program, Healthcare Rehabilitation Center, 1106 West Dittmar Rd., P.O. Box 43148, Austin, TX 78745.
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