Journal Article PreJuSER-1852

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fMRI reveals cognitive and emotional processing in a long-term comatose patient

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2008
Elsevier Amsterdam [u.a.]

Experimental neurology 214, 240 - 246 () [10.1016/j.expneurol.2008.08.007]

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Abstract: We report on a 41-year old woman with prolonged comatose unresponsiveness following traumatic head injury. Structural MRI showed bilateral midbrain damage and ventriculomegalia. Functional MRI revealed robust cortical responses to visual, auditory and tactile stimulation. Speech stimuli moreover consistently elicited activation in Broca's and Wernicke's areas. Familiar speakers and direct addressing evoked significantly stronger amygdala activation than unfamiliar speakers and neutral phrases. This study hence demonstrates the potential of functional neuroimaging in the investigation of residual higher cortical functions in unresponsive comatose patients.

Keyword(s): Acoustic Stimulation (MeSH) ; Adult (MeSH) ; Amygdala: physiology (MeSH) ; Cognition: physiology (MeSH) ; Coma: physiopathology (MeSH) ; Emotions: physiology (MeSH) ; Female (MeSH) ; Frontal Lobe: physiology (MeSH) ; Humans (MeSH) ; Magnetic Resonance Imaging (MeSH) ; Persistent Vegetative State: physiopathology (MeSH) ; Photic Stimulation (MeSH) ; Physical Stimulation (MeSH) ; Speech Perception: physiology (MeSH) ; Temporal Lobe: physiology (MeSH) ; J ; Trauma (auto) ; Language (auto) ; Emotion (auto) ; Persistent vegetative state (auto) ; Minimally conscious state (auto)

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Note: This Human Brain Project/Neuroinformatics research was funded by the NIBIB, NINDS and NIMH. K.Z. acknowledges funding by the Deutsche Forschungsgemeinschaft (KFO-112) and the Volkswagenstiftung.

Contributing Institute(s):
  1. Medizin (INB-3)
  2. Jülich-Aachen Research Alliance - Translational Brain Medicine (JARA-BRAIN)
Research Program(s):
  1. Funktion und Dysfunktion des Nervensystems (P33)

Appears in the scientific report 2008
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INB-3

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