Consciousness in congenitally decorticate children: developmental vegetative state as self-fulfilling prophecy.

Abstract:

:According to traditional neurophysiological theory, consciousness requires neocortical functioning, and children born without cerebral hemispheres necessarily remain indefinitely in a developmental vegetative state. Four children between 5 and 17 years old are reported with congenital brain malformations involving total or near-total absence of cerebral cortex but who, nevertheless, possessed discriminative awareness: for example, distinguishing familiar from unfamiliar people and environments, social interaction, functional vision, orienting, musical preferences, appropriate affective responses, and associative learning. These abilities may reflect 'vertical' plasticity of brainstem and diencephalic structures. The relative rarity of manifest consciousness in congenitally decorticate children could be due largely to an inherent tendency of the label 'developmental vegetative state' to become a self-fulfilling prophecy.

journal_name

Dev Med Child Neurol

authors

Shewmon DA,Holmes GL,Byrne PA

doi

10.1017/s0012162299000821

subject

Has Abstract

pub_date

1999-06-01 00:00:00

pages

364-74

issue

6

eissn

0012-1622

issn

1469-8749

journal_volume

41

pub_type

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