32 research outputs found

    Concurrent brain responses to separate auditory and visual targets.

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    In the attentional blink, a target event (T1) strongly interferes with perception of a second target (T2) presented within a few hundred milliseconds. Concurrently, the brain's electromagnetic response to the second target is suppressed, especially a late negative-positive EEG complex including the traditional P3 wave. An influential theory proposes that conscious perception requires access to a distributed, frontoparietal global workspace, explaining the attentional blink by strong mutual inhibition between concurrent workspace representations. Often, however, the attentional blink is reduced or eliminated for targets in different sensory modalities, suggesting a limit to such global inhibition. Using functional magnetic resonance imaging, we confirm that visual and auditory targets produce similar, distributed patterns of frontoparietal activity. In an attentional blink EEG/MEG design, however, an auditory T1 and visual T2 are identified without mutual interference, with largely preserved electromagnetic responses to T2. The results suggest parallel brain responses to target events in different sensory modalities

    Thalamo-frontal connectivity mediates top-down cognitive functions in disorders of consciousness

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    Objective: We employed functional MRI (fMRI) to assess whether (1) patients with disorders of consciousness (DOC) retain the ability to willfully engage in top-down processing and (2) what neurophysiologic factors distinguish patients who can demonstrate this ability from patients who cannot. Methods: Sixteen volunteers, 8 patients in vegetative state (VS), 16 minimally conscious patients (MCS), and 4 exit from MCS (eMCS) patients were enrolled in a prospective cross-sectional fMRI study. Participants performed a target detection task in which they counted the number of times a (changing) target word was presented amidst a set of distractors. Results: Three of 8 patients diagnosed as being in a VS exhibited significant activations in response to the task, thereby demonstrating a state of consciousness. Differential activations across tasks were also observed in 6 MCS patients and 1 eMCS patient. A psycho-physiologic interaction analysis revealed that the main factor distinguishing patients who responded to the task from those who did not was a greater connectivity between the anterior section of thalamus and prefrontal cortex. Conclusions: In our sample of patients, the dissociation between overt behavior observable in clinical assessments and residual cognitive faculties is prevalent among DOC patients (37%). A substantial number of patients, including some diagnosed with VS, can demonstrate willful engagement in top-down cognition. While neuroimaging data are not the same as observable behavior, this suggests that the mental status of some VS patients exceeds what can be appreciated clinically. Furthermore, thalamo-frontal circuits might be crucial to sustaining top-down functions

    Fractal dimension of cortical functional connectivity networks & severity of disorders of consciousness.

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    Recent evidence suggests that the quantity and quality of conscious experience may be a function of the complexity of activity in the brain and that consciousness emerges in a critical zone between low and high-entropy states. We propose fractal shapes as a measure of proximity to this critical point, as fractal dimension encodes information about complexity beyond simple entropy or randomness, and fractal structures are known to emerge in systems nearing a critical point. To validate this, we tested several measures of fractal dimension on the brain activity from healthy volunteers and patients with disorders of consciousness of varying severity. We used a Compact Box Burning algorithm to compute the fractal dimension of cortical functional connectivity networks as well as computing the fractal dimension of the associated adjacency matrices using a 2D box-counting algorithm. To test whether brain activity is fractal in time as well as space, we used the Higuchi temporal fractal dimension on BOLD time-series. We found significant decreases in the fractal dimension between healthy volunteers (n = 15), patients in a minimally conscious state (n = 10), and patients in a vegetative state (n = 8), regardless of the mechanism of injury. We also found significant decreases in adjacency matrix fractal dimension and Higuchi temporal fractal dimension, which correlated with decreasing level of consciousness. These results suggest that cortical functional connectivity networks display fractal character and that this is associated with level of consciousness in a clinically relevant population, with higher fractal dimensions (i.e. more complex) networks being associated with higher levels of consciousness. This supports the hypothesis that level of consciousness and system complexity are positively associated, and is consistent with previous EEG, MEG, and fMRI studies

    A hierarchy of event-related potential markers of auditory processing in disorders of consciousness.

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    Functional neuroimaging of covert perceptual and cognitive processes can inform the diagnoses and prognoses of patients with disorders of consciousness, such as the vegetative and minimally conscious states (VS;MCS). Here we report an event-related potential (ERP) paradigm for detecting a hierarchy of auditory processes in a group of healthy individuals and patients with disorders of consciousness. Simple cortical responses to sounds were observed in all 16 patients; 7/16 (44%) patients exhibited markers of the differential processing of speech and noise; and 1 patient produced evidence of the semantic processing of speech (i.e. the N400 effect). In several patients, the level of auditory processing that was evident from ERPs was higher than the abilities that were evident from behavioural assessment, indicating a greater sensitivity of ERPs in some cases. However, there were no differences in auditory processing between VS and MCS patient groups, indicating a lack of diagnostic specificity for this paradigm. Reliably detecting semantic processing by means of the N400 effect in passively listening single-subjects is a challenge. Multiple assessment methods are needed in order to fully characterise the abilities of patients with disorders of consciousness

    Consciousness-specific dynamic interactions of brain integration and functional diversity

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    Abstract: Prominent theories of consciousness emphasise different aspects of neurobiology, such as the integration and diversity of information processing within the brain. Here, we combine graph theory and dynamic functional connectivity to compare resting-state functional MRI data from awake volunteers, propofol-anaesthetised volunteers, and patients with disorders of consciousness, in order to identify consciousness-specific patterns of brain function. We demonstrate that cortical networks are especially affected by loss of consciousness during temporal states of high integration, exhibiting reduced functional diversity and compromised informational capacity, whereas thalamo-cortical functional disconnections emerge during states of higher segregation. Spatially, posterior regions of the brain’s default mode network exhibit reductions in both functional diversity and integration with the rest of the brain during unconsciousness. These results show that human consciousness relies on spatio-temporal interactions between brain integration and functional diversity, whose breakdown may represent a generalisable biomarker of loss of consciousness, with potential relevance for clinical practice

    Spectral signatures of reorganised brain networks in disorders of consciousness.

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    Theoretical advances in the science of consciousness have proposed that it is concomitant with balanced cortical integration and differentiation, enabled by efficient networks of information transfer across multiple scales. Here, we apply graph theory to compare key signatures of such networks in high-density electroencephalographic data from 32 patients with chronic disorders of consciousness, against normative data from healthy controls. Based on connectivity within canonical frequency bands, we found that patient networks had reduced local and global efficiency, and fewer hubs in the alpha band. We devised a novel topographical metric, termed modular span, which showed that the alpha network modules in patients were also spatially circumscribed, lacking the structured long-distance interactions commonly observed in the healthy controls. Importantly however, these differences between graph-theoretic metrics were partially reversed in delta and theta band networks, which were also significantly more similar to each other in patients than controls. Going further, we found that metrics of alpha network efficiency also correlated with the degree of behavioural awareness. Intriguingly, some patients in behaviourally unresponsive vegetative states who demonstrated evidence of covert awareness with functional neuroimaging stood out from this trend: they had alpha networks that were remarkably well preserved and similar to those observed in the controls. Taken together, our findings inform current understanding of disorders of consciousness by highlighting the distinctive brain networks that characterise them. In the significant minority of vegetative patients who follow commands in neuroimaging tests, they point to putative network mechanisms that could support cognitive function and consciousness despite profound behavioural impairment.This work was supported by grants from the Wellcome Trust [WT093811MA to T.B.]; the James S. McDonnell Foundation [to A.M.O. and J.D.P.]; the UK Medical Research Council [U.1055.01.002.00001.01 to A.M.O. and J.D.P.]; the Canada Excellence Research Chairs program [to A.M.O.]; the National Institute for Health Research Cambridge Biomedical Research Centre [to J.D.P.]; and the National Institute for Health Research Senior Investigator and Healthcare Technology Cooperative awards [to J.D.P.].This is the final version of the article. It first appeared from PLOS via http://dx.doi.org

    Donax trunculus (Bivalvia: Donacidae) as a potential biological indicator of grain-size variations in beach sediment

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    Donax trunculus (Linnaeus, 1758) is one of the most common bivalve molluscs inhabiting the sandy shores of the Mediterranean Sea. This species, which is preferentially distributed on sediments at depths between 0 and about 2 m, is considered to be a substrate-sensitive organism because of its sensitivity to sediment grain size variations during its life cycle, in particular during its early growth stages. This study aims at investigating the relationship between D. trunculus' density distributions and sediment grain size, in order to evaluate its use as a biological indicator of grain-size variations in beach sediment. For this purpose, a specific environmental study was performed by ISPRA (Italian National Institute for Environmental Protection and Research) along six beaches located in the Central Tyrrhenian Sea between Ladispoli and Anzio (Rome, Italy). On each beach, samples of D. trunculus and superficial sediments were collected in the infra-littoral zone at 3 different depths (0, 0.5, and 1 m) between June 2002 and March 2004. The results pointed out that the distribution of D. trunculus populations is strongly influenced by the sediment's grain size variations. A significant positive correlation was found between species density and the 2.00-phi and 2.50-phi grain size classes; but, in particular, the predominance of the 2.00-phi grain size class in the beach's sediment seems to positively influence the species density and distribution. This study suggests that sediment grain size is the chief factor controlling the distribution of D. trunculus populations: suitable grain sizes allow the settlement and the subsequent growth of well-structured populations. Generally, species density declined in areas subjected to grain-size variations in beach sediments, suggesting a predictable biological response to both natural and human-caused stressors. The present study also highlighted that where nourishment was carried out using suitable sediments, the species reappears on the beach after a few months, as it finds an optimal substrate for settlement. In this case, finding D. trunculus specimens a few months after replenishment indicates that the nourishment operations have been successful from an environmental point of view. As reported by Carignan and Villard (2002), a species that is strongly associated with particular habitat features could be a useful indicator: in particular, a species - like D. trunculus - that is negatively associated with human disturbances could be considered a "positive" indicator of ecological integrity. Long-term monitoring of D. trunculus abundance or density on sandy beaches (adequately carried out during the species' recruitment period, e.g. between July and September), could help pinpoint the presence of natural or human-made phenomena that are leading to grain-size variations in the sediment. In conclusion, we can assume that D. trunculus can be used as a practical biological indicator to detect grain size variations on sandy beaches in coastal monitoring programmes; it could be a useful tool for researchers, managers and administrators to assess erosion phenomena while minimizing times and costs, also in view of an integrated coastal zone management
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