minimally conscious state

Patients can sleep and wake, have some sensory reactions, have some voluntary movements, and have some self or environment awareness {stupor} {minimally conscious state}. Stuporous means semi-conscious, semi-aware, and few sensations.

causes

Damage to cortico-striatopallidal-thalamocortical loop disconnects frontal lobes, basal ganglia, and thalamus. Bilateral anterior medial cortex, basal ganglia, and basal forebrain damage causes stupor.

A schizophrenia type involves excitement and then stupor.

types

Bilateral anterior-medial-cortex, basal-ganglia, and basal-forebrain damage, typically from anterior cerebral-artery aneurysm, can cause no motion, except to look around (akinetic mutism). Medial-caudal-thalamus, medial-dorsal-mesencephalon, caudate-nucleus, globus-pallidus, and medial-forebrain-bundle damage can cause no memory, slow behavior {slow syndrome}, and apathy.

Extensive temporal-lobe, parietal-lobe, and occipital-lobe junction damage can prevent self or environment awareness but allow coordinated behavior (hyperkinetic mutism).

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