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Journal of the Korean Academy of Rehabilitation Medicine 1992;16(3):245-249.
Evaluation of patients in the persistent vegetative state.
Choi, Ki Sub , Lee, Kang Mok
Department of Rehabilitation Medicine, College of Medicine, Hanyang University
식물인간상태의 환자에 대한 연구
최기섭, 이강목
한양대학교 의과대학 재활의학교실
Abstract

Seventeen patients with persistent vegetative state were evaluated for the causes, types of the brain injury, Glasgow Coma scales, medical complications, EEG and somatosensory evoked potential studies.

The mean age of patients was 42.9±8.5 years(range:9∼76)(Table 1). The causes were trauma, stroke, cerebral hypoxia and tumor as shown in table 2. The most common type of the brain injury was intracranial hemorrhage(Table 3). Initial Glasgow coma scale score was 6.3±1.3 and minimal improvement to 9.6±1.1 in 3 months after onset(Table 4). infection(respiratory and genitourinary) was the most common complication during the vegetative state(Table 5). EEG during awakening showed marked abnormal pattern. Cortical somtosensory evoked potentials were abnormal in 72.2%, absent potential in 8 cases(44.4%) and others showed diminishing amplitude or delayed latency of the N1 response(Table 7).

Key Words: Vegetative state, Brain injury


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