Utility of functional magnetic resonance imaging techniques in the diagnosis of chronic consciousness disorders Kronik bilinç bozukluǧu ayirici tanisinda fonksiyonel manyetik rezonans görüntüleme tekniklerinin yeri

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Önder H., ARSAVA E. M., Baş D. F., Karli Oǧuz K., TOPÇUOĞLU M. A.

Turk Beyin Damar Hastaliklar Dergisi, cilt.22, sa.2, ss.78-82, 2016 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 22 Sayı: 2
  • Basım Tarihi: 2016
  • Doi Numarası: 10.5505/tbdhd.2016.96168
  • Dergi Adı: Turk Beyin Damar Hastaliklar Dergisi
  • Derginin Tarandığı İndeksler: Scopus, EMBASE, Directory of Open Access Journals
  • Sayfa Sayıları: ss.78-82
  • Anahtar Kelimeler: Minimal consciousness state., Vegetative state
  • Hacettepe Üniversitesi Adresli: Evet

Özet

Copyright © 2012 TBDHD.Diagnosis of (persistent) vegetative state (PVS), minimally consciousness state (MCS) or mesencephalic "locked-in" syndrome (LIS) is challenging resting only on clinical grounds in cases awakening from acute comatose states with eye opening but no consistent cooperativeness. These descriptions are of uttermost critical importance in terms of prognosis declaration and treatment level selection. Stimulus-evoked and task-evoked functional magnetic resonance imaging (fMRI) or resting state fMRI can be used for this purpose. Three cases, in whom convincing discrimination of PVS, LIS and MCS was impossible to be clinically attained are herein presented and discussed. For the sake of fMRI technology, diagnoses of LIS connected to pontomesencephalic infarction, PVD due to pontine hemorrhage and MBD from global cerebral ischemia could be insured. Utility of fMRI in the neurocritical care and neurovascular disease practices is briefly presented.