Abstract:
Background: Diagnosis of consciousness can be very challenging in some clinical situations such as severe sensory-motor impairments. Case study: We report the case study of a patient who presented a total “locked-in syndrome” associated with and a multi-sensory deafferentation (visual, auditory and tactile modalities) following a protuberantial infarction. Result: In spite of this severe and extreme disconnection from the external world, we could detect reliable evidence of consciousness using a multivariate analysis of his high-density resting state electroencephalogram. This EEG-based diagnosis was eventually confirmed by the clinical evolution of the patient. Conclusion: This approach illustrates the potential importance of functional brain-imaging data to improve diagnosis of consciousness and of cognitive abilities in critical situations in which the behavioral channel is compromised such as deafferented locked-in syndrome. © 2017 Taylor & Francis Group, LLC.
Registro:
Documento: |
Artículo
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Título: | Probing consciousness in a sensory-disconnected paralyzed patient |
Autor: | Rohaut, B.; Raimondo, F.; Galanaud, D.; Valente, M.; Sitt, J.D.; Naccache, L. |
Filiación: | Department of Neurology, AP-HP, Groupe hospitalier Pitié-Salpêtrière, Neuro-ICU, Paris, France INSERM, U 1127, Paris, France Institut du Cerveau et de la Moelle épinière, ICM, PICNIC Lab, Paris, France Faculté de Médecine Pitié-Salpêtrière, Sorbonne Universités, UPMC Univ Paris 06, Paris, France Department of Neurology, Neuro-ICU, Columbia University, New York, NY, United States Laboratorio de Inteligencia Artificial Aplicada, Departamento de Computación, FCEyN, Universidad de Buenos Aires, Buenos Aires, Argentina CONICET, Buenos Aires, Argentina Department of Neuroradiology, AP-HP, Groupe hospitalier Pitié-Salpêtrière, Paris, France Department of Neurophysiology, AP-HP, Groupe hospitalier Pitié-Salpêtrière, Paris, France
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Palabras clave: | brain functional imagery; consciousness; disorder of consciousness; locked-in syndrome; quantitative EEG; abdominal surgery; acute disease; adult; Article; atherosclerosis; basilar artery obstruction; brain stem infarction; case report; chronic kidney failure; clinical article; colitis; consciousness; coughing; deafferentation; dyslipidemia; electroencephalogram; hartmann procedure; heart arrhythmia; human; hypertension; kidney transplantation; locked in syndrome; male; middle aged; neurologic examination; nociceptive stimulation; nuclear magnetic resonance imaging; pupil reflex; sedation; septic shock; startle reflex; vegetative stage; wakefulness; brain; consciousness disorder; electroencephalography; functional neuroimaging; pathophysiology; quadriplegia; Brain; Consciousness Disorders; Electroencephalography; Functional Neuroimaging; Humans; Male; Middle Aged; Quadriplegia |
Año: | 2017
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Volumen: | 31
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Número: | 10
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Página de inicio: | 1398
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Página de fin: | 1403
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DOI: |
http://dx.doi.org/10.1080/02699052.2017.1327673 |
Título revista: | Brain Injury
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Título revista abreviado: | Brain Inj.
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ISSN: | 02699052
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CODEN: | BRAIE
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Registro: | https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_02699052_v31_n10_p1398_Rohaut |
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Citas:
---------- APA ----------
Rohaut, B., Raimondo, F., Galanaud, D., Valente, M., Sitt, J.D. & Naccache, L.
(2017)
. Probing consciousness in a sensory-disconnected paralyzed patient. Brain Injury, 31(10), 1398-1403.
http://dx.doi.org/10.1080/02699052.2017.1327673---------- CHICAGO ----------
Rohaut, B., Raimondo, F., Galanaud, D., Valente, M., Sitt, J.D., Naccache, L.
"Probing consciousness in a sensory-disconnected paralyzed patient"
. Brain Injury 31, no. 10
(2017) : 1398-1403.
http://dx.doi.org/10.1080/02699052.2017.1327673---------- MLA ----------
Rohaut, B., Raimondo, F., Galanaud, D., Valente, M., Sitt, J.D., Naccache, L.
"Probing consciousness in a sensory-disconnected paralyzed patient"
. Brain Injury, vol. 31, no. 10, 2017, pp. 1398-1403.
http://dx.doi.org/10.1080/02699052.2017.1327673---------- VANCOUVER ----------
Rohaut, B., Raimondo, F., Galanaud, D., Valente, M., Sitt, J.D., Naccache, L. Probing consciousness in a sensory-disconnected paralyzed patient. Brain Inj. 2017;31(10):1398-1403.
http://dx.doi.org/10.1080/02699052.2017.1327673