“…Misdiagnoses could be due to multiple reasons, such as the fluctuations of the patients’ arousal and conditions, fatigue, variations in medical and physical management, and inexperience of the evaluators (Neumann and Kotchoubey, 2004; Majerus et al, 2005; Gill-Thwaites, 2006; Schnakers et al, 2009; Gosseries et al, 2011). Nevertheless, the diagnoses of disorders of consciousness are generally performed on the basis of behavioral measures such as the CRS-R, which generally correlate with the presence of behavioral responses/electrophysiological activations (Schnakers et al, 2008; Bonfiglio et al, 2009, 2014; Lechinger et al, 2013; de Biase et al, 2014), even when these responses and activations are not predicted by clinical diagnosis (Bonfiglio et al, 2009; Lechinger et al, 2013). This observation inevitably questions the usefulness of using the VS and MCS dichotomic diagnostic categories, instead of relying on ordinal behavioral scores, which appear to have a stronger relationship with the patients’ responses.…”