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To the Editor: The National Institutes of Health (NIH) Consensus Development Panel on Rehabilitation of Persons With Traumatic Brain Injury,¹ as forward thinking as it was, failed to address the increasing role of advances in neuroimaging and neuromodulation in the diagnosis and treatment of traumatic brain injury (TBI).

In the past several years, there has been a revolution in cognitive neuroscience that may soon transform the diagnosis, treatment, and rehabilitation of persons with TBI. For instance, diagnostic functional positron emission tomography has demonstrated a heterogeneity of brain states that can lead to impaired consciousness such as coma and the persistent vegetative state.^2-3 Kennedy and Bakay⁴ have reported restoring communication for a patient with locked-in syndrome using an implantable electrode grafted to the motor cortex. Rinaldi et al⁵ demonstrated that stimulation of the left medial thalamus can modulate working memory and verbal fluency in patients with chronic pain. This observation suggests . . . [Full Text of this Article]

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RELATED ARTICLE

Rehabilitation of Persons With Traumatic Brain Injury
NIH Consensus Development Panel on Rehabilitation of Persons With Traumatic Brain Injury
JAMA. 1999;282(10):974-983.
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