Advancing Our Knowledge of Cognition in Disorders of Consciousness: A Critical Revisit
This narrative review aims to elucidate an emerging state of consciousness termed “cognitive-motor dissociation (CMD),” characterized by brain activity patterns closely resembling those observed in healthy individuals. This distinctive phenomenon is notably evident in patients diagnosed with comatos...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-01-01
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| Series: | Acta Neurologica Taiwanica |
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| Online Access: | https://journals.lww.com/10.4103/ANT.33-1_Review |
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| _version_ | 1849467974168084480 |
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| author | Po-Tso Lin Hsiang-Yu Yu |
| author_facet | Po-Tso Lin Hsiang-Yu Yu |
| author_sort | Po-Tso Lin |
| collection | DOAJ |
| description | This narrative review aims to elucidate an emerging state of consciousness termed “cognitive-motor dissociation (CMD),” characterized by brain activity patterns closely resembling those observed in healthy individuals. This distinctive phenomenon is notably evident in patients diagnosed with comatose states, unresponsive wakefulness states, or minimally conscious states. Employing functional magnetic resonance imaging or electroencephalography holds promise for identifying CMD. The emergence of CMD not only introduces a fresh conceptual framework but also provides valuable predictive insights into outcomes and prognoses for individuals with disorders of consciousness. However, the recognition of CMD raises ethical considerations, particularly in evaluating the decision-making capacity regarding life-or-death choices for individuals in this state. Therefore, it is crucial to advocate for further scientific and comprehensive research to enhance our understanding of CMD and navigate its nuanced complexities. |
| format | Article |
| id | doaj-art-8720e8b64ccb4b6fba8bc52ddee20274 |
| institution | Kabale University |
| issn | 1028-768X |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Acta Neurologica Taiwanica |
| spelling | doaj-art-8720e8b64ccb4b6fba8bc52ddee202742025-08-20T03:25:59ZengWolters Kluwer Medknow PublicationsActa Neurologica Taiwanica1028-768X2024-01-013311310.4103/ANT.33-1_ReviewAdvancing Our Knowledge of Cognition in Disorders of Consciousness: A Critical RevisitPo-Tso LinHsiang-Yu YuThis narrative review aims to elucidate an emerging state of consciousness termed “cognitive-motor dissociation (CMD),” characterized by brain activity patterns closely resembling those observed in healthy individuals. This distinctive phenomenon is notably evident in patients diagnosed with comatose states, unresponsive wakefulness states, or minimally conscious states. Employing functional magnetic resonance imaging or electroencephalography holds promise for identifying CMD. The emergence of CMD not only introduces a fresh conceptual framework but also provides valuable predictive insights into outcomes and prognoses for individuals with disorders of consciousness. However, the recognition of CMD raises ethical considerations, particularly in evaluating the decision-making capacity regarding life-or-death choices for individuals in this state. Therefore, it is crucial to advocate for further scientific and comprehensive research to enhance our understanding of CMD and navigate its nuanced complexities.https://journals.lww.com/10.4103/ANT.33-1_Reviewcognitive-motor dissociationcomaelectroencephalographyfunctional magnetic resonance imagingminimally conscious stateunresponsive wakefulness syndrome |
| spellingShingle | Po-Tso Lin Hsiang-Yu Yu Advancing Our Knowledge of Cognition in Disorders of Consciousness: A Critical Revisit Acta Neurologica Taiwanica cognitive-motor dissociation coma electroencephalography functional magnetic resonance imaging minimally conscious state unresponsive wakefulness syndrome |
| title | Advancing Our Knowledge of Cognition in Disorders of Consciousness: A Critical Revisit |
| title_full | Advancing Our Knowledge of Cognition in Disorders of Consciousness: A Critical Revisit |
| title_fullStr | Advancing Our Knowledge of Cognition in Disorders of Consciousness: A Critical Revisit |
| title_full_unstemmed | Advancing Our Knowledge of Cognition in Disorders of Consciousness: A Critical Revisit |
| title_short | Advancing Our Knowledge of Cognition in Disorders of Consciousness: A Critical Revisit |
| title_sort | advancing our knowledge of cognition in disorders of consciousness a critical revisit |
| topic | cognitive-motor dissociation coma electroencephalography functional magnetic resonance imaging minimally conscious state unresponsive wakefulness syndrome |
| url | https://journals.lww.com/10.4103/ANT.33-1_Review |
| work_keys_str_mv | AT potsolin advancingourknowledgeofcognitionindisordersofconsciousnessacriticalrevisit AT hsiangyuyu advancingourknowledgeofcognitionindisordersofconsciousnessacriticalrevisit |