The Neiswanger Institute for Bioethics at Loyola University

Awakened from ... Something ... She Speaks

Chicago Tribune and everyone else is reporting this morning on a "miraculous case of waking up from a long-term coma," which apparently included an eyes open state for some significant amount of time. This is the AP account:
HUTCHINSON, Kan. -- Sarah Scantlin was an 18-year-old college freshman on Sept. 22, 1984, when she was hit by a drunken driver as she walked to her car after celebrating with friends at a teen club.

Since then she has been mostly oblivious to the world around her, able only to blink her eyes to respond to questions no one knew for sure she understood.

But a week ago, her parents got a call from Jennifer Trammell, a licensed nurse at the Golden Plains Healthcare Center. Trammell asked Betsy Scantlin if she was sitting down, told her someone wanted to talk to her and switched the phone to speaker mode:

"Hi, Mom."

"Sarah, is that you?" her mother asked.

"Yes," came the throaty reply.

"How are you doing?"

"Fine."

It is unclear what sort of state Scantlin was in. Was it a coma? Was she merely unable to talk? Was she "locked in"? There are no clinical comments beyond a speech therapist in the story so far, but you can bet this story will lead everyone's news for the next several days.

comments

Please define "locked in" for the non-medical types in the audience (I'm sure a Google search would inundate me with incorrect answers).

"Locked-in Syndrome" is the result of occlusion of the perforating arteries of the paramedian basilar artery leading to dysfunction of the corticospinal tract, corticobulbar tract and the exiting 6th cranial nerve fibers.
All of this pathology leads to a NORMAL level of consciousness but the patient is only able to communicate via vertical eye movements and blinking The patient is otherwise paralyzed and requires mechanical ventilation to breathe.
If the patient can breathe on her own and move her extremities she does NOT have the "Locked-in Syndrome". ..Maurice.

Ah. Thank you, Doctor.

contribute a comment

Comments have been closed for this post.

what is this?

A 'Nature Top 50' science blog by the editors, staff and friends of The American Journal of Bioethics. Science writes: "To follow the latest twists in ... science stories with social impact, dive into this Web log"

The original story behind this blog

What people are saying about blog.bioethics.net

recently on blog.bioethics.net

Dr. Gupta Goes to Washington?

Reported by Howard Kurtz at the Washington Post yesterday, Obama administration officials have announced that Dr. Sanjay Gupta of CNN and CBS news fame... (more)

Kidney on the Rocks or Perfused? I'll Take Mine Perfused.

As reported in TIME, researchers from the University of Groningen have found a new method to keep organs from cadaveric donors better preserved for transplant.... (more)

Could Spider Silk Save Your Life?

Posted today at Nanotech-Now.com, Summer Johnson has written a column on the ethical issues with the new polymer nanocomposites that material scientists have created and... (more)

Wolpe on "60 Minutes": Reading Minds for Cookies and Car Accidents

If you missed it this Sunday, as our own Dr. Paul Wolpe himself did for being in an airplane, you can catch it again here--the... (more)

Thrill Seeking Brains and the People Who Have Them

Researchers from Vanderbilt University have found that some brains process dopamine differently resulting in greater "thrill seeking" behavior, says BBC News. Essentially, these individuals have... (more)

this blog's feed

  • Subscribe
    • XML
    • Google Reader or Homepage
    • Add to My Yahoo!
    • Subscribe with Bloglines
    • Subscribe in NewsGator Online
    • Add to My AOL
    • Convert RSS to PDF
    • Add to Technorati Favorites!
    • Add to your phone
    • Get RSS Buttons

info

archives

tags