Persistent vegetative state after traumatic brain injury - a case report and review of the literature

Persistent vegetative state (PVS) is a chronic neurological disorder of consciousness, in which patients appear to be awake, but show no behavioural evidence of awareness. It cannot be diagnosed with certainty and misdiagnosis is very frequent. Its management has become one of the most controversial...

Full description

Bibliographic Details
Main Authors:	Rathor, Mohammad Yousuf, Abdul Rani, Mohd Fauzi, Che Abdullah, Shahrin Tarmizi, Hashim, Hasnur Zaman
Format:	Article
Language:	English English
Published:	Ibn Sina Trust 2014
Subjects:	RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Online Access:	http://irep.iium.edu.my/37282/ http://irep.iium.edu.my/37282/ http://irep.iium.edu.my/37282/ http://irep.iium.edu.my/37282/1/P_VEG_State_.pdf http://irep.iium.edu.my/37282/4/scopus.pdf

id	iium-37282
recordtype	eprints
spelling	iium-372822018-06-19T04:20:25Z http://irep.iium.edu.my/37282/ Persistent vegetative state after traumatic brain injury - a case report and review of the literature Rathor, Mohammad Yousuf Abdul Rani, Mohd Fauzi Che Abdullah, Shahrin Tarmizi Hashim, Hasnur Zaman RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry Persistent vegetative state (PVS) is a chronic neurological disorder of consciousness, in which patients appear to be awake, but show no behavioural evidence of awareness. It cannot be diagnosed with certainty and misdiagnosis is very frequent. Its management has become one of the most controversial and emotive issues in medical ethics and medical law over the past few decades. The results of recent neuroimaging studies along with well-documented reports of significant late recovery of some PVS patients have challenged the long-held view that restoration of function in the severely traumatic brain injury (TBI) patients is not possible. Some clinicians believe that PVS is a misused term with the potential consequences of withdrawal and withholding of care, and tendency towards less aggressive management. Further naming these patients as “vegetative” has been misinterpreted by many groups that the patient is no more a human but “vegetable” like. Recently there has been an attempt to replace PVS by new, more appropriate name "Unresponsive Wakefulness Syndrome" (UWS). As opposed to brain death, PVS is not recognized by statute as death in any legal system. The context within which end of life decisions are being made for these patients has led to outrage especially if decisions were made to terminate hydration and nutrition. We present a case of young boy who is in a PVS following TBI with the aim to review some of the contemporary issues regarding their management. Ibn Sina Trust 2014-07 Article PeerReviewed application/pdf en http://irep.iium.edu.my/37282/1/P_VEG_State_.pdf application/pdf en http://irep.iium.edu.my/37282/4/scopus.pdf Rathor, Mohammad Yousuf and Abdul Rani, Mohd Fauzi and Che Abdullah, Shahrin Tarmizi and Hashim, Hasnur Zaman (2014) Persistent vegetative state after traumatic brain injury - a case report and review of the literature. Bangladesh Journal of Medical Science, 13 (3). pp. 358-365. ISSN 2223-4721 (Print) 2076-0299 (Electronic) http://www.banglajol.info/index.php/BJMS/article/view/19159 http://dx.doi.org/10.3329/bjms.v13i3.19159
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
spellingShingle	RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry Rathor, Mohammad Yousuf Abdul Rani, Mohd Fauzi Che Abdullah, Shahrin Tarmizi Hashim, Hasnur Zaman Persistent vegetative state after traumatic brain injury - a case report and review of the literature
description	Persistent vegetative state (PVS) is a chronic neurological disorder of consciousness, in which patients appear to be awake, but show no behavioural evidence of awareness. It cannot be diagnosed with certainty and misdiagnosis is very frequent. Its management has become one of the most controversial and emotive issues in medical ethics and medical law over the past few decades. The results of recent neuroimaging studies along with well-documented reports of significant late recovery of some PVS patients have challenged the long-held view that restoration of function in the severely traumatic brain injury (TBI) patients is not possible. Some clinicians believe that PVS is a misused term with the potential consequences of withdrawal and withholding of care, and tendency towards less aggressive management. Further naming these patients as “vegetative” has been misinterpreted by many groups that the patient is no more a human but “vegetable” like. Recently there has been an attempt to replace PVS by new, more appropriate name "Unresponsive Wakefulness Syndrome" (UWS). As opposed to brain death, PVS is not recognized by statute as death in any legal system. The context within which end of life decisions are being made for these patients has led to outrage especially if decisions were made to terminate hydration and nutrition. We present a case of young boy who is in a PVS following TBI with the aim to review some of the contemporary issues regarding their management.
format	Article
author	Rathor, Mohammad Yousuf Abdul Rani, Mohd Fauzi Che Abdullah, Shahrin Tarmizi Hashim, Hasnur Zaman
author_facet	Rathor, Mohammad Yousuf Abdul Rani, Mohd Fauzi Che Abdullah, Shahrin Tarmizi Hashim, Hasnur Zaman
author_sort	Rathor, Mohammad Yousuf
title	Persistent vegetative state after traumatic brain injury - a case report and review of the literature
title_short	Persistent vegetative state after traumatic brain injury - a case report and review of the literature
title_full	Persistent vegetative state after traumatic brain injury - a case report and review of the literature
title_fullStr	Persistent vegetative state after traumatic brain injury - a case report and review of the literature
title_full_unstemmed	Persistent vegetative state after traumatic brain injury - a case report and review of the literature
title_sort	persistent vegetative state after traumatic brain injury - a case report and review of the literature
publisher	Ibn Sina Trust
publishDate	2014
url	http://irep.iium.edu.my/37282/ http://irep.iium.edu.my/37282/ http://irep.iium.edu.my/37282/ http://irep.iium.edu.my/37282/1/P_VEG_State_.pdf http://irep.iium.edu.my/37282/4/scopus.pdf
first_indexed	2023-09-18T20:53:28Z
last_indexed	2023-09-18T20:53:28Z
_version_	1777410149199118336

Persistent vegetative state after traumatic brain injury - a case report and review of the literature

Similar Items