Abstract

Vegetative state (VS) is characterized by complete absence of behavioural evidence for self or environmental awareness. This is a case report of a traumatic brain injury (TBI) patient who was referred as a vegetative state. He was given medical, cognitive and physical therapy and recovered consciousness after 6 months. We thus concluded that patients with such a diagnosis should receive best medical, physical and cognitive care as some of them could show good recovery.

Highlights

  • Vegetative state is defined as a state of wakefulness without awareness in which there is preserved capacity for spontaneous or stimulus-induced arousal, evidenced by sleep-wake cycles and a range of reflexive and spontaneous behaviours

  • The patient presented here fulfilled the definition of Vegetative state (VS) rather than Minimal Conscious State (MCS), the later being wakefulness with minimal awareness

  • We cannot identify the actual procedure that induced recovery whether intensive stimulation, rTMS, medications or all of them. This patient initially seemed to be in a vegetative state, suggestive of

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Summary

Introduction

Vegetative state is defined as a state of wakefulness without awareness in which there is preserved capacity for spontaneous or stimulus-induced arousal, evidenced by sleep-wake cycles and a range of reflexive and spontaneous behaviours. B.M., a male patient 26 years old, had a car accident two months prior to admission to our Neurorehabilitation Centre in Cairo. It resulted in traumatic brain injury with all radiological investigations excluding any spinal cord trauma. He presented to us with a picture suggestive of vegetative state, glascow coma scale 6. He had a normal sleep waking rhythm, yet could not respond to verbal stimuli even by eye movements. MRI brain and EEG showed no abnormalities [1]

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