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Table 1 Comparison of clinical features associated with vegetative state and minimally conscious state[3, 4]

From: Has the sanctity of life law ‘gone too far’?: analysis of the sanctity of life doctrine and English case law shows that the sanctity of life law has not ‘gone too far’

Condition

Vegetative State (VS)

  Minimally Conscious State (MCS)

Awareness

Absent

Present

Sleep wake Cycle

Present

Present

Response to stimuli

Inconsistent

Present

Motor function

No purposeful movement

Some consistent or inconsistent verbal or purposeful motor behaviour

Auditory Function

Brief orienting to sound

Localizes to sound location

Visual Function

Brief visual fixation

Sustained visual fixation and pursuit

Communication

None

Inconsistent, but intelligible verbalization or gesture

Emotion

None

Smiling or crying

Respiratory function

Typically preserved

Typically Preserved

EEG Activity

Typically slow wave activity

Insufficient data

Cerebral metabolism

Severely reduced

Insufficient data

 

Variable

Variable

Prognosis

If permanent (>12 months of VS) then continued vegetative state or death