Evidence map›Paper›PMID 38754372›Full record

ReviewNeuron2024

Toward an interventional science of recovery after coma.

Nicholas D Schiff

Abstract readReview
In one paragraph

Review in Neuron, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Flickers of awareness: Cerebellar stimulation in disorders of consciousness.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Nicholas D SchiffJerold B. Katz Professor of Neurology and Neuroscience, Weill Cornell Medicine, New York, NY, USA. Electronic address: nds2001@med.cornell.edu.

Funding

VEGF VECTOR TO ISCHEMIC MYOCARDIUM W/DIFFUSE CORONARY DISEASEM01RR000047 · NCRR · WEILL MEDICAL COLL OF CORNELL UNIV · PI WARD, MARY J · 1985 to 2007
$36.4M
Central thalamic stimulation for traumatic brain injuryUH3NS095554 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI BUTSON, CHRISTOPHER R, GIACINO, JOSEPH THOMAS · 2015 to 2021
$6.9M
CENTRAL THALAMIC DEEP BRAIN STIMULATION MODELSR01NS067249 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI BUTSON, CHRISTOPHER R, PFAFF, DONALD W. · 2009 to 2013
$3.2M
Mechanisms of recovery following severe brain injuryR01HD051912 · NICHD · WEILL MEDICAL COLL OF CORNELL UNIV · PI SCHIFF, NICHOLAS D · 2008 to 2012
$2.1M
MULTIDISCIPLINARY ASSESSMENT OF SEVERE BRAIN INJURYR21NS043451 · NINDS · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI SCHIFF, NICHOLAS D · 2001 to 2003
$649k
INTRALAMINAR THALAMIC INFLUENCES ON VISUAL AWARENESSK02NS002172 · NINDS · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI SCHIFF, NICHOLAS D · 2000 to 2004
$633k
NCRR NIH HHS M01 RR000047NICHD NIH HHS R01 HD051912NINDS NIH HHS K02 NS002172NINDS NIH HHS R01 NS067249NINDS NIH HHS R21 NS043451NINDS NIH HHS UH3 NS095554
6 · The paper itself

Abstract

Recovery of consciousness after coma remains one of the most challenging areas for accurate diagnosis and effective therapeutic engagement in the clinical neurosciences. Recovery depends on preservation of neuronal integrity and evolving changes in network function that re-establish environmental responsiveness. It typically occurs in defined steps: it begins with eye opening and unresponsiveness in a vegetative state, then limited recovery of responsiveness characterizes the minimally conscious state, and this is followed by recovery of reliable communication. This review considers several points for novel interventions, for example, in persons with cognitive motor dissociation in whom a hidden cognitive reserve is revealed. Circuit mechanisms underlying restoration of behavioral responsiveness and communication are discussed. An emerging theme is the possibility to rescue latent capacities in partially damaged human networks across time. These opportunities should be exploited for therapeutic engagement to achieve individualized solutions for restoration of communication and environmental interaction across varying levels of recovery.

Indexed as

ComaRecovery of FunctionConsciousnessHumansPersistent Vegetative State

Identifiers

PMID38754372
PMCPMC11827330

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.