Published in:
Open Access
01-12-2013 | Research article
Assessment of localisation to auditory stimulation in post-comatose states: use the patient’s own name
Authors:
Lijuan Cheng, Olivia Gosseries, Limei Ying, Xiaohua Hu, Dan Yu, Hongxing Gao, Minhui He, Caroline Schnakers, Steven Laureys, Haibo Di
Published in:
BMC Neurology
|
Issue 1/2013
Login to get access
Abstract
Background
At present, there is no consensus on how to clinically assess localisation to sound in patients recovering from coma. We here studied auditory localisation using the patient’s own name as compared to a meaningless sound (i.e., ringing bell).
Methods
Eighty-six post-comatose patients diagnosed with a vegetative state/unresponsive wakefulness syndrome or a minimally conscious state were prospectively included. Localisation of auditory stimulation (i.e., head or eyes orientation toward the sound) was assessed using the patient’s own name as compared to a ringing bell. Statistical analyses used binomial testing with bonferroni correction for multiple comparisons.
Results
37 (43%) out of the 86 studied patients showed localisation to auditory stimulation. More patients (n=34, 40%) oriented the head or eyes to their own name as compared to sound (n=20, 23%; p<0.001).
Conclusions
When assessing auditory function in disorders of consciousness, using the patient’s own name is here shown to be more suitable to elicit a response as compared to neutral sound.