In a persistent vegetative state, the patient has sleep-wake cycles, but lacks awareness, is not able to communicate and only displays reflexive and non-purposeful behavior. The term refers to an organic body that is able to grow and develop devoid of intellectual activity or social intercourse.[1] The diagnosis of the vegetative state should be questioned when there is any degree of sustained and reproducible visual pursuit or fixation or response to threatening gestures. This state reflects an intact brainstem and allied structures but severely damaged white and gray matter in both cerebral hemispheres.