Neuropsychological interpretation of disorders of consciousness using data from instrumental (neurophysiological) methods for diagnosing brain activity

Abstract

The relevance of the problem under consideration is determined by the need to develop and improve interdisciplinary approaches to the diagnosis and rehabilitation of disorders of consciousness in patients with brain pathology. The purpose of the article is an analytical review of the methods of neuropsychological and neurophysiological diagnostics and rehabilitation work with patients in reduced states of consciousness. It is noted that the neuropsychological content of the concept of "consciousness" is insufficiently developed and there is no unified point of view on the brain basis of consciousness, as well as on methodological and procedural limitations that arise when a neuropsychologist works with patients in a vegetative state of consciousness and in a state of minimal consciousness. The problem of consistency of the results of behavioral (neuropsychological) and instrumental (neurophysiological) methods for assessing the level of states of consciousness conducted by different specialists (neuropsychologists, neurologists, neurophysiologists) who are part of a multidisciplinary team is considered. The possibility of combining the procedure of neuropsychological examination and instrumental (neurophysiological) methods in the diagnosis of patients in a vegetative state of consciousness, in a state of minimal consciousness) and the prognosis of restoring the level of consciousness is analyzed. The possibility of an integrated approach to the diagnosis of a state of consciousness associated with a combination of behavioral (observation-based) and objective (instrumental) research methods is confirmed, and possible ways of its implementation are considered.

Keywords

consciousness disorders / neuropsychological tests / neurorehabilitation / electroencephalography / magnetic resonance imaging / positron-emission tomography

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