Scientists have been able to reach into the mind of a brain-damaged man and communicate with his thoughts. The research, carried out in the UK and Belgium, involved a new brain scanning method. Awareness was detected in three other patients previously diagnosed as being in a vegetative state. The study in the New England Journal of Medicine shows that scans can detect signs of awareness in patients thought to be closed off from the world. Patients in a vegetative state are awake, not in a coma, but have no awareness because of severe brain damage. The scientists used functional magnetic resonance imaging (fMRI) which shows brain activity in real time.
The order by Mr Justice Baker was issued in a case involving a woman, who can be referred to only as "M". She has been in "a minimally conscious state" since suffering from swelling of the brain stem, which caused serious damage and wasting to the brain. The woman suffered the illness in 2003, when she was 43, and has been minimally conscious since then.
A mother is seeking a court's permission to withdraw life-sustaining artificial nutrition and hydration from her brain-damaged daughter. The woman, 53, who can only be referred to as "M" for legal reasons, is in a "minimally conscious state".
On the face of it, the decision by a High Court judge in the case of M is no surprise - few would have expected a ruling to allow a patient with any level of consciousness and feeling to die. But a closer inspection of the 76-page judgement shows that Mr Justice Baker did not find his decision a straightforward one.