Comments Sought for Development of Guideline on Disorders of Consciousness

The American Academy of Neurology seeks comments to be used in developing new guideline recommendations for the diagnosis, prognosis, and treatment of vegetative state and other disorders of consciousness. Comments are sought on the following:

Diagnosis

  • At various points after brain injury in people with a disorder of consciousness:
    • How often specific disorders of consciousness, death, severe/moderate disability, or good outcome will result

Prognosis

  • In people in a vegetative state at various points in time and with different types and amount of injury:
    • Whether they are likely to regain consciousness earlier than others
  • In people in a vegetative or minimally conscious state at various points in time and with different types and amount of injury:
    • Whether having certain favorable characteristics (for example, female gender, younger age at injury, shorter length of time since injury) or undergoing repeated exams and tests help identify those who will regain consciousness and certain levels of functioning

Treatment

  • In people in a vegetative or minimally conscious state at various points in time and with different types and amount of injury:
    • Whether certain treatments (for example, pharmacologic agents, nutraceuticals, electrical brain stimulation, hyperbaric oxygen therapy, structured sensory/environmental stimulation protocols) improve the condition

Visit the AAN website to review the guideline topics and leave comments.

The comment period will close on October 5, 2012.

You and others will be asked to comment on the initial draft of the guideline recommendations when they are available.

This is the second guideline to be developed by the AAN in which public comments will be considered as part of the development process. The new process is in response to standards from the Institute of Medicine.

Visit the AAN guidelines webpage or email guidelines@aan.com for more information.