Persistent vegetative state

A persistent vegetative state (or PVS) is a condition of patients with severe brain damage in whom coma has progressed to a state of "wakefulness without awareness". The term was introduced by two doctors in 1972 to describe a syndrome that seemed to have been made possible by medicine's increased capacities to keep patients' bodies alive. A persistent vegetative state is not the same as coma, the major distinction being that coma sufferers cannot breathe on their own. Patients in a persistent vegetative state are usually considered to be unconscious and unaware, but exhibit sleep-wake cycles and some behaviors that can be construed as arising from partial consciousness, such as grinding their teeth, swallowing, smiling, shedding tears, grunting, moaning, or screaming without any apparent external stimulus. Their heads and eyes can track moving objects or turn towards a sound. Commonly, family members who visit the patient will detect evidence of awareness when doctors with limited patient contact will deny it. Many people have recovered from PVS, and there is evidence that eye tracking is often the earliest symptom of recovery. As opposed to brain death, PVS is not recognized as death in any known legal system.

External Links

\n* Persistent Vegetative State This source accepts the unawareness of all PVS sufferers and advocates removing life support

• THE PERMANENT VEGETATIVE STATE; ETHICAL CRUX, MEDICAL FICTION? By Chris Borthwick This source questions the validity of most PVS diagnoses, and the validity of the baasic nosology.
• Use of MRI in Prediction of Recovery from Persistent Vegetative State
• [1] Andrews K, (1996) et al. ‘Misdiagnosis of the vegetative state: retrospective study in a rehabilitation unit.’ British Medical Journal, 313, 13-16. A major study finding a 43% misdiagnosis rate and a 33% recovery of consciousness rate, making a total 76% of patients diagnosed with prolonged VS who recovered consciousness.