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Vegetative state
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{{Short description|Disorder of consciousness caused by severe brain damage}} {{Infobox medical condition (new) | name = Vegetative state | caption = | synonyms = | field = [[Neurology]], [[critical care medicine]] | symptoms = | complications = | onset = | duration = | types = | causes = | risks = | diagnosis = | differential = | prevention = | treatment = | medication = | prognosis = | frequency = | deaths = }} A '''vegetative state''' ('''VS''') or '''post-coma unresponsiveness''' ('''PCU''')<ref>{{cite web | url = https://synapse.org.au/fact-sheet/coma-and-brain-injury/ | title = Coma and brain injury | work = Synapse.org }}</ref> is a [[disorder of consciousness]] in which patients with severe [[brain damage]] are in a state of partial [[arousal]] rather than true [[awareness]]. After four weeks in a vegetative state, the patient is classified as being in a '''persistent vegetative state''' ('''PVS'''). This diagnosis is classified as a '''permanent vegetative state''' some months (three in the US and six in the UK) after a non-traumatic brain injury or one year after a traumatic injury. The term '''unresponsive wakefulness syndrome''' may be used alternatively,<ref>{{Cite journal|last1=Kang|first1=Xiao-gang|last2=Li|first2=Li|last3=Wei|first3=Dong|last4=Xu|first4=Xiao-xia|last5=Zhao|first5=Rui|last6=Jing|first6=Yun-yun|last7=Su|first7=Ying-ying|last8=Xiong|first8=Li-ze|last9=Zhao|first9=Gang|last10=Jiang|first10=Wen|date=2014|title=Development of a simple score to predict outcome for unresponsive wakefulness syndrome|journal=Critical Care|volume=18|issue=1|pages=R37|doi=10.1186/cc13745|issn=1364-8535|pmc=4056750|pmid=24571596 |doi-access=free }}</ref> as "vegetative state" has some negative connotations among the public.<ref name = "Laureys_2010">{{cite journal | vauthors = Laureys S, Celesia GG, Cohadon F, Lavrijsen J, León-Carrión J, Sannita WG, Sazbon L, Schmutzhard E, von Wild KR, Zeman A, Dolce G | display-authors = 6 | title = Unresponsive wakefulness syndrome: a new name for the vegetative state or apallic syndrome | journal = BMC Medicine | volume = 8 | pages = 68 | date = November 2010 | pmid = 21040571 | pmc = 2987895 | doi = 10.1186/1741-7015-8-68 | doi-access = free }}</ref> It is occasionally also called '''Apallic syndrome''' or '''Apallisches syndrome''', [[Loanword|borrowings]] from German, primarily in European or older sources.<ref>{{Cite journal |last=von Wild |first=K. |last2=Laureys |first2=S. T. |last3=Gerstenbrand |first3=F. |last4=Dolce |first4=G. |last5=Onose |first5=G. |date=2012-02-22 |title=The vegetative state--a syndrome in search of a name |url=https://pubmed.ncbi.nlm.nih.gov/22574081/ |journal=Journal of Medicine and Life |volume=5 |issue=1 |pages=3–15 |issn=1844-3117 |pmc=3307077 |pmid=22574081}}</ref>
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