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For example, the patient didn't answer the last question because.. he fell asleep? I would imagine if I was trapped inside my body and suddenly given a mechanism to communicate, I would be too excited to fall asleep.

They probably made that assumption because people fall asleep inside MRI's all of the time, especially during extremely long fMRI tests, when they try to isolate the senses (i.e. it's very dark, you wear earplugs and ear phones). Also, the brain damage might predispose someone to have a short attention span/wakeful periods.




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