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Journal of Head Trauma Rehabilitation:
doi: 10.1097/HTR.0b013e31823c9eaf
Original Articles

“Complete Motor Locked-In” and Consequences for the Concept of Minimally Conscious State

de Jong, Bauke M. MD, PhD

Section Editor(s): Caplan, Bruce PhD, ABPP; Bogner, Jennifer PhD, ABPP

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Abstract

The demonstration by Monti et al. (2010) of willful modulation of brain activity in persistent vegetative state implies the exceptional condition of a “complete motor locked-in syndrome.” As a consequence, the contradictory character of the diagnosis minimally conscious state should be recognized because behaviorally observed minimal cognitive responsiveness does not exclude a higher level of well-differentiated self-consciousness. Introduction of the descriptive entities “complete motor locked-in syndrome” and “minimal cognitive responsiveness” is therefore advocated in the service of diagnostic precision.

© 2013 Lippincott Williams & Wilkins, Inc.

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