An American university student who was returned to the United States this week after being held in North Korea for 17 months has a severe brain injury and is in a state of "unresponsive wakefulness," doctors have said.
Otto Warmbier, 22, who arrived in the US on Tuesday, is stable but "shows no sign of understanding language, responding to verbal commands or awareness of his surrounding," said Dr Daniel Kanter, medical director of the neuro science intensive care unit at the University of Cincinnati.
"He has not spoken," Dr Kanter said at a press conference. "He has not engaged in any purposeful movements or behaviours."
He said Mr Warmbier was breathing on his own.
Mr Warmbier, from Wyoming, Ohio, has been in a coma since March 2016, shortly after he was sentenced to 15 years of hard labour in North Korea, his family said on Tuesday.

He was arrested for trying to steal an item bearing a propaganda slogan, North Korean media reported.
He was visiting North Korea with a tour group.
North Korea said that it had released Mr Warmbier "on humanitarian grounds."
The University of Virginia student's father Fred Warmbier said at an earlier news conference that his son had been "brutalised and terrorised" by the North Korean government.
He said the family did not believe North Korea's story that his son had fallen into a coma after contracting botulism and being given a sleeping pill.
Doctors said today that there was no sign of botulism in Otto Warmbier's system.
Dr Kanter said that Mr Warmbier had suffered "extensive loss of brain tissue in all regions of the brain, but he declined to discuss Mr Warmbier's prognosis at the request of his family.
Fred Warmbier said he was stunned when told of his son's condition one week ago.
"I don't know what being in shock is, but I'm pretty sure I was," he said.
"There is no excuse for any civilized nation to have kept this condition secret and denied him top-notch medical care for so long."
He said his wife, Cindy, had not left their son's side since his return to the US and that he had spoken with US President Donald Trump on Wednesday night.