A New Way To Test For Signs Of Consciousness In Unresponsive Brain-Injured Patients

It’s often hard to tell which brain-injured patients will recover from a coma and which won’t. New research uses EEG to test for hidden consciousness in patients’ brains.

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Patients who are brain-injured and unresponsive may appear unconscious, but a study published Wednesday in the New England Journal of Medicine repurposed a widely-used technology to demonstrate that the brains of some of these patients are still active.

The researchers used electroencephalography or EEG to look for signs of brain activity in a group of brain-injured patients, finding that 15% of those studied had residual activity despite being unable to speak or move.

EEG is already used to diagnose epilepsy and other brain disorders, but this study shows that EEG recordings can be used to detect what some researchers call “preserved consciousness” in some unresponsive patients with a severe brain injury. This method might make it easier for doctors to predict whether a brain-injured patient will wake up from a coma and might help inform decisions related to withdrawal of life-support.