A new study published in the Lancet shows that as many as one-third of vegetative patients are misdiagnosed.
Researchers used brain-imaging techniques and found minimal consciousness in 13 of 42 patients it studied.
The study revealed that those patients with minimal consciousness have emotions and may feel pain.
This could have major legal and medical consequences, Maclean's reports.
After finding that 13 of 42 vegetative patients showed brain activity indicating minimal consciousness, they re-examined them a year later. By then, nine of the 13 had improved, and progressed into a minimally conscious state or higher.
The mounting evidence that some vegetative patients are conscious, even minimally so, carries ethical and legal implications. Just last year, Canada’s Supreme Court ruled that doctors couldn’t unilaterally pull the plug on Hassan Rasouli, a man in a vegetative state. This work raises the possibility that one day, some patients may be able to communicate through some kind of brain-machine interface, and maybe even weigh in on their own medical treatment. For now, doctors could make better use of functional brain imaging tests to diagnose these patients, Laureys believes. Kate Bainbridge, who was one of the first vegetative patients examined by Owen, was given a scan that showed her brain lighting up in response to images of her family. Her health later improved. "I can’t say how lucky I was to have the scan," she said in an email to Maclean’s last year. "[It] really scares me to think what would have happened if I hadn’t had it."