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The diagnosis of prolonged disorders of consciousness remains problematic despite the available guidelines1,2; misdiagnosis between the vegetative state (VS) and minimally conscious state (MCS) is estimated to hover around 40%.3 Neurologists are also confronted with many unresolved issues that vex both the patient's family and the health team, prominent among which are pain, affective responsiveness, and conscious awareness. Do patients in VS experience pain? Are patients in MCS capable of some cognition?
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- © 2013 American Academy of Neurology
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