Cerebral response to speech in vegetative and minimally conscious states after traumatic brain injury

Primary objective: To study cerebral response in a functional magnetic resonance imaging (fMRI) task of speech perception in a sample of patients in vegetative state (VS) and minimally conscious state (MCS) after traumatic brain injury. Methods: Three patients in VS, four patients in MCS and 19 heal...

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Veröffentlicht in:Brain injury 2008-01, Vol.22 (11), p.882-890
Hauptverfasser: Fernández-Espejo, Davinia, Junqué, Carme, Vendrell, Pere, Bernabeu, Montserrat, Roig, Teresa, Bargalló, Nuria, Mercader, José María
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container_end_page 890
container_issue 11
container_start_page 882
container_title Brain injury
container_volume 22
creator Fernández-Espejo, Davinia
Junqué, Carme
Vendrell, Pere
Bernabeu, Montserrat
Roig, Teresa
Bargalló, Nuria
Mercader, José María
description Primary objective: To study cerebral response in a functional magnetic resonance imaging (fMRI) task of speech perception in a sample of patients in vegetative state (VS) and minimally conscious state (MCS) after traumatic brain injury. Methods: Three patients in VS, four patients in MCS and 19 healthy volunteers were enrolled for the study. All subjects underwent an fMRI task of passive listening of narratives played forward and backward, alternated with periods of silence. This study analysed cerebral response to language and to complex sound processing in the healthy subjects' group and in each patient, using SPM5. Results: One patient in VS and one in MCS showed cerebral responses to language and to complex sound very similar to those shown by the healthy volunteers. Two more patients, one in VS and one in MCS, showed significant responses to complex sound only. Finally, one patient in VS and one patient in MCS failed to show significant activation in response to either stimulus. Conclusions: Some patients in VS and MCS can preserve cerebral responses to language and auditory stimuli. fMRI may be useful to identify these responses, which may pass unnoticed in a bedside examination.
doi_str_mv 10.1080/02699050802403573
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source MEDLINE; Taylor & Francis:Master (3349 titles); Taylor & Francis Medical Library - CRKN
subjects Acoustic Stimulation - methods
Adolescent
Adult
Auditory Perception - physiology
Awareness
Brain Injuries - complications
Brain Injuries - psychology
Consciousness - physiology
Female
Functional magnetic resonance imaging
Humans
Magnetic Resonance Imaging
Male
Middle Aged
minimally conscious state
Persistent Vegetative State - diagnosis
Persistent Vegetative State - physiopathology
Speech Perception - physiology
traumatic brain injury
vegetative state
title Cerebral response to speech in vegetative and minimally conscious states after traumatic brain injury
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