Is this proof that vegetative patients ARE aware of their surroundings? Brainwaves reveal 'fingerprint' of consciousness in people thought to be 'beyond hope'
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Patients with severe brain damage who are in a persistent vegetative state could be aware of their surroundings, scientists claim.
Researchers say that have found a 'fingerprint of consciousness' in these patients using a simple test based on measuring patterns of brainwaves.
The discovery could help doctors recognise awareness in unresponsive brain damaged patients who might otherwise be considered beyond hope.
Here the brain networks of two brain damaged patients (pictured left and middle) are pictured next to those of a healthy adult (pictured far right) from a 2012 study. The brain damaged patient in the middle was asked to imagine playing tennis, revealing brainwaves incredibly similar to those of a healthy adult.
It could even influence heart-breaking decisions of life and death which can lead to a patient having treatment withdrawn.
A patient in a vegetative state is physically awake but shows no signs of consciousness.
In contrast, coma patients are not awake and those in a minimally conscious state show clear evidence of sporadic awareness - such as blinking in response to questions.
Recent brain scan studies have revealed that some patients classified as vegetative are able to carry out conscious tasks such as imagining playing a game of tennis.
The new research shows that patients with hidden awareness also seem to possess well-preserved networks of brain neurons that look similar to those of healthy individuals
The new research shows that patients with hidden awareness also seem to possess well-preserved networks of brain neurons that look similar to those of healthy individuals.
Lead scientist Dr Shrivas Chennu, from the Department of Clinical Neurosciences at Cambridge University, said: 'Understanding how consciousness arises from the interactions between networks of brain regions is an elusive but fascinating scientific question.
'But for patients diagnosed as vegetative and minimally conscious, and their families, this is far more than just an academic question - it takes on a very real significance.
'Our research could improve clinical assessment and help identify patients who might be covertly aware, despite being uncommunicative.'
The team used a specialised form of electroencephalography (EEG) to study networks of activity in the brains of 32 patients diagnosed as vegetative or minimally conscious, as well as a number of healthy adults.
Networks that support awareness in the healthy brain were typically found to be impaired in vegetative patients - but not always.
Some vegetative individuals retained well-preserved awareness networks. These turned out to be the same patients who had shown signs of hidden consciousness by following commands such as playing imaginary tennis.
The findings, published in the online journal Public Library of Science Computational Biology, could lead to a relatively simple bedside awareness test.
Recent brain scan studies (pictured) have revealed that some patients classified as vegetative are able to carry out conscious tasks such as imagining playing a game of tennis
Unlike the 'tennis' test, it would not rely on having access to large and expensive functional magnetic resonance imaging (fMRI) scanners.
Dr Tristan Bekinschtein, from the Medical Research Council's Cognition and Brain Sciences Unit at Cambridge University, said: 'Although there are limitations to how predictive our test would be used in isolation, combined with other tests it could help in the clinical assessment of patients.
'If a patient's "awareness" networks are intact, then we know that they are likely to be aware of what is going on around them.
'But unfortunately, they also suggest that vegetative patients with severely impaired networks at rest are unlikely to show any signs of consciousness.'
The team used a specialised form of electroencephalography (EEG) to study networks of activity in the brains of 32 patients diagnosed as vegetative or minimally conscious, as well as a number of healthy adults
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