Abstract

Cognitive Motor Dissociation (CMD) is a subtype of disorders of consciousness which can be characterized as a detection of command following in clinically unresponsive patients. CMD detection requires usage of sophisticated diagnostical tools, such as functional magnetic resonance imaging to evaluate activation of following brain zones due to audial commands. Differential diagnosis between CMD and unresponsive wakefulness syndrome (UWS) or minimally consciousness state minus (MCS-) is crucial due to different prognosis for all these categories of patients. Patients with diagnosed CMD demonstrate regaining of consciousness more often than UWS patients. Here we described case of CMD, diagnosed in clinically unresponsive patient after severe traumatic brain injury complicated with hypoxia.

Keywords

disorders of consciousness, cognitive motor dissociation, unresponsive wakefulness syndrome, minimally consciousness state minus