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Una angustiosa experiencia cercana a la muerte con percepciones verídicas durante el coma: reflexiones psiquiátricas
Francesco Sepioni1, Antonio Metastasio2, Manuel Monti1
1Emergency Department, AUSL Umbria 1, Gubbio-Gualdo Tadino Hospital (Perugia), Italy.
Rivista di psichiatria
|February 10, 2026
Resumen
Una experiencia angustiosa cercana a la muerte (EQM) con un componente extracorporal (ECO) en un paciente en coma condujo a percepciones precisas y a la resolución de ideas suicidas, desafiando los modelos de conciencia actuales.
Área de la Ciencia:
- La neurociencia es la neurociencia.
- La psiquiatría es la psiquiatría.
- Estudios de la Conciencia Estudios de la Conciencia
Sus antecedentes:
- Las experiencias cercanas a la muerte (ECM) son fenómenos subjetivos reportados cerca de la muerte, a menudo agradables pero a veces angustiantes.
- Las experiencias fuera del cuerpo (EBO) son una característica clave, que implica una sensación de dejar el cuerpo físico.
- Algunos OBE incluyen percepciones verídicas de eventos, luego confirmadas, explicaciones desafiantes basadas en el estado inconsciente.
Objetivo del estudio:
- Para presentar un caso de una espantosa ECM con verdadero OBE.
- Para explorar las bases neurobiológicas de la conciencia.
- Destacar el potencial transformador de las END angustiosas en la práctica psiquiátrica.
Principales métodos:
- Informe de caso de una mujer de 25 años con lesión cerebral traumática grave.
- El paciente estuvo en un coma inducido médicamente durante 20 días.
- Relato detallado de su ECM, incluyendo OBE con percepciones precisas verificadas, y los cambios psicológicos posteriores.
Principales resultados:
- El paciente informó una ECM atemorizante (28/32 en la Escala de ECM de Greyson) con un OBE.
- Tenía percepciones específicas y precisas durante la inconsciencia, luego verificadas por el personal.
- Se produjeron cambios psicológicos significativos, incluida la resolución de la ideación suicida.
Conclusiones:
- Este caso desafía los modelos reduccionistas de la conciencia y sus fundamentos neurobiológicos.
- Las END angustiosas poseen un profundo potencial transformador.
- Reconocer y estudiar los estados de conciencia no ordinarios es crucial para comprender su base psicológica y neurobiológica.
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