Artículo

Rohaut, B.; Raimondo, F.; Galanaud, D.; Valente, M.; Sitt, J.D.; Naccache, L. "Probing consciousness in a sensory-disconnected paralyzed patient" (2017) Brain Injury. 31(10):1398-1403
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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
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
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
Volumen:31
Número:10
Página de inicio:1398
Página de fin:1403
DOI: http://dx.doi.org/10.1080/02699052.2017.1327673
Título revista:Brain Injury
Título revista abreviado:Brain Inj.
ISSN:02699052
CODEN:BRAIE
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