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Auditory test predicts coma awakening

Patients whose sound discrimination improved in 48 hours eventually awoke

A coma patient’s chances of surviving and waking up could be predicted by changes in the brain’s ability to discriminate sounds, new research suggests.

Recovery from coma has been linked to auditory function before, but it wasn’t clear whether function depended on the time of assessment. Whereas previous studies tested patients several days or weeks after comas set in, a new study looks at the critical phase during the first 48 hours. At early stages, comatose brains can still distinguish between different sound patterns,. How this ability progresses over time can predict whether a coma patient will survive and ultimately awaken, researchers report.

“It’s a very promising tool for prognosis,” says neurologist Mélanie Boly of the Belgian National Fund for Scientific Research, who was not involved with the study. “For the family, it’s very important to know if someone will recover or not.”

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