Minimally Responsive State
Minimally conscious state
The minimally responsive state is an older term that is synonymous with a minimally conscious state (MCS). MCS is a point along a continuum of consciousness in which the patient demonstrates limited awareness of self and the environment. MCS is characterized by inconsistent but appropriate verbal or gestural responses, intelligible verbalization, and non-reflexive, purposeful behavior.
The diagnosis of MCS depends on the demonstration of one or more of the following in a sustained or reproducible way: comprehension of simple commands, gestural or verbal yes/no responses, intelligible verbalization, or purposeful behavior. These may be elicited using the JFK Coma Recovery Scale-Revised (Giacino et al. 2004) or through individual quantitative assessment, such as that described by (Giacino and Whyte 2005).
The natural history, prognostic factors, and outcomes related to MCS are difficult to discern because...
References and Readings
- Whyte, J., Katz, D., Long, D., DiPasquale, M., Polansky, M., Kalmar, K. K., et al. (2005). Predictors of outcome in prolonged posttraumatic disorders of consciousness and assessment of medication effects: A multicenter study. Archives of Physical Medicine and Rehabilitation, 86, 453–462.CrossRefPubMedPubMedCentralGoogle Scholar