By Chelsea Conaboy, Globe Staff The pace of recovery for patients with severe brain injuries that leave them in a vegetative state or with limited consciousness may be quickened with the use of a drug commonly used to treat Parkinsons disease, a study published in the latest New England Journal of Medicine found. Patients who received the drug, amantadine, over four weeks improved more quickly and were more likely to gain the ability to understand and communicate with others within that time period than those who received a placebo. Doctors have long used amantadine and a variety of other psychoactive drugs in patients with severe traumatic brain injury, though they had little more than anecdotes to show that they worked. Researching their effectiveness has been difficult largely because the patients are hard to find, said Joseph Giacino, lead author of the study and director of rehabilitation neuropsychology at Spaulding Rehabilitation Hospital. The vast majority of these patients never see rehabilitation, he said. They are sent from the trauma center to skilled nursing facilities, because coverage for rehabilitation is usually denied by health insurance plans. It is widely thought that little can be done to help them in a rehab setting, … Continue reading
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