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Minimally Conscious State vs Persistent Vegetative State: The Case of Terry (Wallis) vs the Case of Terri (Schiavo)  Eelco F.M. Wijdicks, MD  Mayo Clinic.

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Presentation on theme: "Minimally Conscious State vs Persistent Vegetative State: The Case of Terry (Wallis) vs the Case of Terri (Schiavo)  Eelco F.M. Wijdicks, MD  Mayo Clinic."— Presentation transcript:

1 Minimally Conscious State vs Persistent Vegetative State: The Case of Terry (Wallis) vs the Case of Terri (Schiavo)  Eelco F.M. Wijdicks, MD  Mayo Clinic Proceedings  Volume 81, Issue 9, Pages (September 2006) DOI: / Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions

2 FIGURE 1 Major categories of outcome after structural cause of coma. (The size of the boxes estimates the frequency of occurrence of each category.) The dotted arrows represent possible transitions. MCS = minimally conscious state; PVS = persistent vegetative state. Mayo Clinic Proceedings  , DOI: ( / ) Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions

3 FIGURE 2 Terry Wallis (with permission from The New York Times) and Terri Schiavo (with permission from Getty Images) as portrayed in the media. Although the untrained eye may spot differences—Wallis seems to look into the camera—the facial expression is the least valuable feature that distinguishes minimally conscious state from persistent vegetative state. The 2 neurological states can certainly not be distinguished with quickly captured photographs. Mayo Clinic Proceedings  , DOI: ( / ) Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions


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