The Washington PostDemocracy Dies in Darkness

Some coma patients may be conscious. New research could identify them.

A routine clinical care technique could help identify patients with cognitive motor dissociation or “hidden consciousness,” improving survival and recovery odds

By
October 12, 2023 at 6:00 a.m. EDT
An illustration of a small outlined figure in the middle of purple, blue, and pink cell-like shapes.
(George Wylesol for The Washington Post)
7 min

Some brain injury patients may appear to be in a coma, but they are not. They are processing at least some of what is happening around them but cannot physically respond.

Without a physical response, a physician might assume that a patient hasn’t understood, said Sudhin Shah, a neuroscientist at Weill Cornell Medicine in New York City. And, she said, referring to the patient, “Unfortunately, it could be that you were processing, you were understanding, you were wanting to talk to me. You just can’t.”