Sleeping pill wakes men in vegetative state

So reads the headlines of Sarah Boseley's article in The Guardian , which follows.

A drug commonly used as a sleeping pill appears to have had a miraculous effect on brain-damaged patients who have been in a permanent vegetative state for years, arousing them to the point where some are able to speak to their families, scientists report today.

The dramatic improvement occurs within 20 minutes of taking the drug, Zolpidem, and wears off after around four hours - at which point the patients return to their permanent vegetative state, according to a paper published in the medical journal NeuroRehabilitation.

All three patients were men around 30 who had suffered brain damage in car accidents. Patient L had been in a vegetative state for three years, showing no reaction to touch and no response to his family. After he was given the drug, he was able to talk to them. Patient G was also able to interact with family, answer simple questions and catch a baseball. Patient N "was constantly uttering random screams". After he was given the drug, the screaming stopped, and he started watching television and reacting to his family.

Ralf Clauss of the nuclear medicine department of the Royal Surrey County hospital, one of the authors, said that clinical trials were now needed. He said the drug could have uses in all kinds of brain damage, including Parkinson's disease and Alzheimer's.

The Terri Schindler Schiavo Foundation reports that the Schindler family pleaded for years with Terri’s guardian, Michael Schiavo, and the courts to try and use different treatments or medicines that could possibly help improve Terri’s condition, but were denied. The Foundation has been contacted by dozens of families with similar stories of patients improving significantly after being wrongly diagnosed in this PVS condition.

In December 2000, Patricia White Bull, after given the drug Amantadine (used to stimulate people with Parkinson's disease and brain damage) awoke after 16 years of being in what doctors were calling a persistent vegetative state. Sadly, we will never know if any of any of these drugs or treatments that were available would have improved Terri’s condition.

This recent finding and other studies in the past demonstrate the dangers of this subjective and often incorrect diagnosis. A report released by the British Medical Journal in 1996, found that 43% of the diagnosed cases of PVS they studied were, in fact, misdiagnosed.

“We at the Foundation are seeing that the PVS diagnosis is being commonly misdiagnosed. Consequently, it has become very obvious we don’t know enough about this so-called diagnosis, and common sense dictates that the removal of food and water based on this misclassification must end until further studies can be conducted.” Robert Schindler, Sr.

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