Assessment of localization to sound in disorder of consciousness:own name versus bell ring

来源 :中国神经科学学会第九届全国学术会议暨第五届会员代表大会 | 被引量 : 0次 | 上传用户:l1301wz
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  Objective The assessment of orientation to sound is an item in the behavioral evaluation of consciousness in patients with disorders of consciousness (DOC).For the commonly used Coma Recovery Scale-Revised (CRS-R), it is not specified what stimulus to use, so this study uses 2 different stimuli (with one auto-referential) to assess their sensitivity for auditory localization.Methods CRS-R scale was used for clinical measurement of consciousness in randomly selected 50 DOC patients diagnosed with vegetative state (VS) or minimally conscious state (MCS).Patients location response to bell and own name were recorded and the sensitivity of stimuli localization was compared.Results Difference was found between localization responses to own name and bell in 50 DOC patients.In MCS patients (n=27), presentation of the subjects own name elicited more location response than bell ring (P<0.05).In VS patients, there was no significant difference.Conclusion In this study, we compared the sensitivity to elicit localization response between subjects own name and bell ring in DOC patients.We found that the subjects own name was more sensitive to elicit location response than bell ring (P<0.05) in MCS patients.In VS patients, no difference was observed, This result indicates that the subjects own name may be more suitable to elicit a location response than a simple auditory stimulus such as bell ring and should be used as a standard stimulation when assessing auditory functions in DOC.
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