Document Detail


Preserved oscillatory response but lack of mismatch negativity in patients with disorders of consciousness.
MedLine Citation:
PMID:  21377413     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: The diagnostic validity of non-phase-locked oscillations (NPLOs) and mismatch negativity (MMN) in an oddball task for assessing attentional reactivity in patients with disordered consciousness was examined. METHODS: Patients in a minimally conscious (MCS, n=6) or vegetative (VS, n=16) state and healthy controls (n=15) were assessed. MMN and NPLOs were analyzed with single-subject, non-parametric statistics. RESULTS: In 11 healthy controls and 2 VS patients, MMN was detected. More subjects showed NPLO differences in the alpha than in the theta or beta frequency ranges. In 14 healthy controls, 4 MCS patients, and 5 VS patients, lower amplitudes after deviants were found in the alpha frequency range. One healthy subject and one VS patient showed higher amplitudes after deviants. CONCLUSIONS: Neither ERPs nor NPLOs could reliably distinguish MCS from VS patients. However, NPLOs were more sensitive than ERPs for detecting significantly different activity, and they possibly identified preserved processing better than ERPs. SIGNIFICANCE: Intact neurophysiological attentional responses observed in the NPLOs of VS patients may indicate a need for other diagnostic techniques. Inter-individual differences in the direction of the effect should be considered as normal variance.
Authors:
Yvonne Höller; Jürgen Bergmann; Martin Kronbichler; Julia Sophia Crone; Elisabeth Verena Schmid; Stefan Golaszewski; Gunther Ladurner
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-3
Journal Detail:
Title:  Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology     Volume:  -     ISSN:  1872-8952     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883319     Medline TA:  Clin Neurophysiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Department of Psychology and Center for Neurocognitive Research, University of Salzburg, Austria; Neuroscience Institute and Center for Neurocognitive Research, Christian-Doppler-Clinic, Paracelsus Private Medical University, Salzburg, Austria.
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