Misdiagnosis as an ethical and scientific challenge
2014 (English)In: Annali dell'Istituto Superiore di Sanità, ISSN 0021-2571, Vol. 50, no 3, 229-233 p.Article in journal, Editorial material (Refereed) Published
Difficulties of behavioral assessment of consciousness. An astonishingly high rateof misdiagnosis between vegetative state/unresponsive wakefulness syndrome and minimallyconscious state has been detected. This raises the issue of the adequacy of theconsciousness’ assessment in patients with disorders of consciousness. The behavioralassessment of consciousness could be not able to detect covert awareness, which is increasinglyidentified by the instrumental assessment.Ancillary methods. Neurotechnology, particularly neuroimaging, provides relevant dataconcerning the neurological underlying condition of patients with DOCs, but the instrumentalapproach has still to assess some technical issues.Ethical considerations. A correct diagnosis of a DOC is not only an instrumental issue,but also an ethically relevant demand to the scientific community. Finally, an integrationbetween behavioral and instrumental assessments seems to be the most adequate strategyin order to decrease the rate of misdiagnosis.
Place, publisher, year, edition, pages
2014. Vol. 50, no 3, 229-233 p.
Medical Ethics Ethics Neurology
Research subject Bioethics
IdentifiersURN: urn:nbn:se:uu:diva-234878DOI: 10.4415/ANN_14_03_05OAI: oai:DiVA.org:uu-234878DiVA: diva2:758207
ProjectsHuman Brain Project