https://doi.org/10.4081/mem.2009.235

Lo stato neurologico post-coma: le basi neurofisiopatologiche delle scelte etiche

Vol. 58 No. 5 (2009)
Published: October 30, 2009
Stato vegetativo persistente, stato di minima coscienza, neuroplasticità, terapia, cura / Persistent vegetative state, minimally conscious state, neuroplasticity, therapy, care
Abstract Views: 493
PDF (Italiano): 1
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Massimo Gandolfini
gandolfini-massimo@poliambulanza.it
Specialista in Neurochirurgia, Neurologia e Psichiatria; Direttore Dipartimento Neuroscienze, Primario U.O. Neurochirurgia, Fondazione Poliambulanza, Brescia, Italy.
L'articolo affronta il tema dello stato vegetativo persistente (SVP) e dello stato di minima coscienza (SMC), esponendone le basi neurofisiopatologiche, correlandole ai più recenti tentativi terapeutici. Si sottolinea, in particolare, l'importanza di una corretta diagnosi differenziale fra i due stati post-coma, considerata l'importanza del fattore tempo per un corretto giudizio prognostico. Infine si affronta il tema della distinzione fra "terapia" e "cura", con le importanti conseguenze etiche.
----------
The article deals with the persistent vegetative state (SVP) and the minimally conscious state (SMC), explaining their neurophysiopathologic bases and correlating them to the most recent therapeutic attempts. In particular, the importance of a correct differential diagnosis between the two post-coma states is underlined, considering the importance of time as a factor for a correct prognosis. Finally, the the article focuses on the distinction between "therapy" and "care", with the important ethical consequences.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC

How to Cite

Gandolfini, M. (2009). Lo stato neurologico post-coma: le basi neurofisiopatologiche delle scelte etiche. Medicina E Morale, 58(5). https://doi.org/10.4081/mem.2009.235

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.

An Open Access Publication is one that meets the following two conditions:

  1. the author(s) and copyright holder(s) grant(s) to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, transmit and display the work publicly and to make and distribute derivative works, in any digital medium for any responsible purpose, subject to proper attribution of authorship, as well as the right to make small numbers of printed copies for their personal use.
  2. a complete version of the work and all supplemental materials, including a copy of the permission as stated above, in a suitable standard electronic format is deposited immediately upon initial publication in at least one online repository that is supported by an academic institution, scholarly society, government agency, or other well-established organization that seeks to enable open access, unrestricted distribution, interoperability, and long-term archiving.

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.