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Disentangling the vegetative state from the minimally conscious state is often difficult when relying only on behavioral observation. In this study, the investigators explored a new event-related potential paradigm as an alternative method for the detection of voluntary brain activity and cognitive abilities in the patients with disorders of consciousness.
Auditory emotional stimuli have potential beneficial effects on cognitive functions and consciousness in patients with disorders of consciousness (DOC); however, precise and accurate quantitative indices to estimate cerebral activation to different auditory stimuli remain scarce. In this study, investigators assessed the response of different brain regions to emotional stimuli using ERP(Event-related potential),and further investigated the brain activation network.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Healthy controls | age-matched right-handed healthy volunteers |
| |
| the mininally conscious state | Patients present reproducible signs of awareness such as purposeful eye movements or response to verbal order |
| |
| the vegetative state | Patients preserved autonomous functioning (e.g., preserved sleep-wake cycles),but without awareness of oneself or of the environment |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| emotional sound and neutral sound | Other | Neutral voice is a meaningless sound (namely the interjection "ah") and the emotional stimuli were the same voice pronouncing the same word with an emotional prosody of happiness or sadness.The stimulus material consisted of positive and negative sound selected from the International Affective Digitalized Sounds (IADS) database.In order to identify experimental stimuli sets that were matched for ratings of arousal and valence between the two valence types,investigators used an algorithm to equate normative valence and arousal ratings for the selection of auditory stimuli. |
| Measure | Description | Time Frame |
|---|---|---|
| electrophysiological index:the cognitive event-related potentional components | The event-related potential waveforms uncover voluntary responses to external stimuli that could assist in detecting signs of consciousness to reduce the risk of misdiagnosis. P300 is a large positive going potential that increases in amplitude from the frontal to parietal electrodes and has a peak latency of about 300 ms for auditory and 400 ms for visual stimuli. And N1 is a negative potential in the posterior superior temporal lobe with the peak latency of about 170ms.Peak amplitudes and latency were obtained for the interest ERP components(N1,P300) .Peak amplitudes and latency for were analysed in a series of repeated-measures ANOVAs for each component (N1, P2), with factors of condition (emotion: mean happy/angry vs. neutral). | from 200 msec before the stimuli onset to 1000ms after the auditory stimulation |
| Measure | Description | Time Frame |
|---|---|---|
| CRS-R(Coma Recovery Scale-Revised) | CRS-R has been designed to differentiate VS from MCS and consists of 23 hierarchically arranged items that comprise six subscales addressing arousal, auditory, visual, motor, oromotor/verbal, and communication functions. The lowest item on each subscale represents reflexive activity while the highest item represents cognitively mediated behaviors. | 30 minutes before the auditory stimualtion and 30 minutes after each stimulation |
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Patients:
Inclusion Criteria:
Exclusion Criteria:
Healthy controls:
Inclusion Criteria:
Exclusion Criteria:
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30 healthy controls and 30 patients in dicorders of consciousness(15 VS and 15 MCS)
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| Name | Affiliation | Role |
|---|---|---|
| Benyan Luo | First Affiliated Hospital of Zhejiang University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hangzhou Hospital of Zhejiang CAPR | Hangzhou | Zhejiang | China |
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| ID | Term |
|---|---|
| D003244 | Consciousness Disorders |
| ID | Term |
|---|---|
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
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| D013568 | Pathological Conditions, Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |