Abstract:
:Advanced functional neuroimaging approaches dealing with motor imagery have disclosed covert cognitive processes in patients with disorders of consciousness (DoC). However, motor impairment and cognitive-motor dissociation can bias such approaches. Fourteen patients with post-traumatic DoC and ten healthy controls (HC) were provided with three motor tasks related to mirror neuron system (MNS) activation (movement observation, movement execution, and passive motor imagery of a movement) while recording electroencephalographic (EEG) metrics [EEG power and Granger Casualty Index (GCI)] to detect residual signs of conscious awareness. The most relevant finding was that all HCs, all patients with Minimally Conscious State and one with Unresponsive Wakefulness Syndrome demonstrated an event-related synchronization in the gamma range over left frontal regions, with high GCI values, in the passive motor imagery condition. These data significantly correlated with the level of behavioral responsiveness measured by the Coma Recovery Scale-Revised. Thus, our findings may indicate that motor tasks related to MNS can activate frontoparietal networks, although leading to different conscious processes. Hence, MNS assessment can be usefully employed to differentiate among patients with DoC.
journal_name
Brain Topogrjournal_title
Brain topographyauthors
Naro A,Calabrò RS,Leo A,Russo M,Milardi D,Cannavò A,Manuli A,Buda A,Casella C,Bramanti P,Cacciola A,Bramanti Adoi
10.1007/s10548-018-0628-9subject
Has Abstractpub_date
2018-07-01 00:00:00pages
623-639issue
4eissn
0896-0267issn
1573-6792pii
10.1007/s10548-018-0628-9journal_volume
31pub_type
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