Citation

Illman NA, Crawford S. Neuropsychol. Rehabil. 2018; 28(8): 1360-1374.

Affiliation

a The Royal Hospital for Neuro-disability , London , UK.

Copyright

(Copyright © 2018, Informa - Taylor and Francis Group)

DOI

10.1080/09602011.2017.1313167

PMID

28446065

Abstract

This article provides a detailed outline of the recovery of a young male patient during his emergence from a vegetative state (VS) 19 months after suffering a severe traumatic brain injury. Several similar cases have been documented, but these tend not to consider the subjective experience of the patient or family; our aim was therefore to provide a detailed account that emphasises our neuropsychological exploration of the impact of the injury on this person, and looks at the experience of his mother along the timeline from his accident to the end of a successful period in rehabilitation. Clinical details are presented including standardised and non-standard assessments, neuropsychological interventions, as well as reflections from the patient himself. Moreover, qualitative data from an interview with his mother is used to illustrate the emotional impact on family of such a vacillating diagnostic status and prognosis for the future. We conclude that late-emergence from VS is increasingly documented and further cases must be published to better understand this phenomenon. The present case illustrates the emotional impact this situation can have on a patient and his or her family, and gives an important insight into a patient's view of his or her life and identity following such an event.

Language: en

Keywords

Disorders of consciousness; late emergence; rehabilitation; vegetative state