Prolonged disorders of consciousness (PDOC): treatment

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Prolonged disorders of consciousness (PDOC): treatment. This is indicated for adults with traumatic PDOC. Fully referenced neurology checklist.

Amantadine

  • This is indicated for adults with traumatic PDOC
  • The dose 100-200 mg bid
  • It is used between 4-16 weeks after the injury
  • It may hasten functional recovery
  • It may reduce early disability

Investigational treatments

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References

  1. Giacino JT, Katz DI, Schiff ND, et al. Practice guideline update recommendations summary: Disorders of consciousness: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology; the American Congress of Rehabilitation Medicine; and the National Institute on Disability, Independent Living, and Rehabilitation Research. Neurology 2018; 91:450-460.
  2. Thibaut A, Schiff N, Giacino J, Laureys S, Gosseries O. Therapeutic interventions in patients with prolonged disorders of consciousness. Lancet Neurol 2019; 18:600-614. 

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