keyword
MENU ▼
Read by QxMD icon Read
search

minimally consciousness state

keyword
https://www.readbyqxmd.com/read/29761891/processed-electroencephalogram-and-evoked-potential-techniques-for-amelioration-of-postoperative-delirium-and-cognitive-dysfunction-following-non-cardiac-and-non-neurosurgical-procedures-in-adults
#1
REVIEW
Yodying Punjasawadwong, Waraporn Chau-In, Malinee Laopaiboon, Sirivimol Punjasawadwong, Pathomporn Pin-On
BACKGROUND: Postoperative delirium (POD) and postoperative cognitive dysfunction (POCD) may complicate a patient's postoperative recovery in several ways. Monitoring of processed electroencephalogram (EEG) or evoked potential (EP) indices may prevent or minimize POD and POCD, probably through optimization of anaesthetic doses. OBJECTIVES: To assess whether the use of processed EEG or auditory evoked potential (AEP) indices (bispectral index (BIS), narcotrend index, cerebral state index, state entropy and response entropy, patient state index, index of consciousness, A-line autoregressive index, and auditory evoked potentials (AEP index)) as guides to anaesthetic delivery can reduce the risk of POD and POCD in non-cardiac surgical or non-neurosurgical adult patients undergoing general anaesthesia compared with standard practice where only clinical signs are used...
May 15, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29761122/bortezomib-treatment-for-severe-refractory-anti-nmda-receptor-encephalitis
#2
Yong-Won Shin, Soon-Tae Lee, Tae-Joon Kim, Jin-Sun Jun, Kon Chu
Objective: To evaluate the therapeutic potential of bortezomib, a proteasome inhibitor that target plasma cells, in order to revive stalled recovery in patients with anti- N -methyl-d-aspartate (NMDA) receptor encephalitis who remain bedridden even after aggressive immunotherapy. Methods: We consecutively enrolled patients with anti-NMDA receptor encephalitis who remained bedridden after first-line immunotherapy (steroids and intravenous immunoglobulin), second-line immunotherapy (rituximab), and tocilizumab treatment, and treated them with subcutaneous bortezomib...
May 2018: Annals of Clinical and Translational Neurology
https://www.readbyqxmd.com/read/29759943/randomized-controlled-trial-of-home-based-4-week-tdcs-in-chronic-minimally-conscious-state
#3
Géraldine Martens, Nicolas Lejeune, Anthony Terrence O'Brien, Felipe Fregni, Charlotte Martial, Sarah Wannez, Steven Laureys, Aurore Thibaut
BACKGROUND: Patients with chronic disorders of consciousness face a significant lack of treatment options. OBJECTIVE: We aimed at investigating the feasibility and the behavioral effects of home-based transcranial direct current stimulation (tDCS), applied by relatives or caregivers, in chronic patients in minimally conscious state (MCS). METHODS: Each participant received, in a randomized order, 20 sessions of active and 20 sessions of sham tDCS applied over the prefrontal cortex for 4 weeks; separated by 8 weeks of washout...
May 2, 2018: Brain Stimulation
https://www.readbyqxmd.com/read/29740372/large-scale-brain-simulation-and-disorders-of-consciousness-mapping-technical-and-conceptual-issues
#4
Michele Farisco, Jeanette H Kotaleski, Kathinka Evers
Modeling and simulations have gained a leading position in contemporary attempts to describe, explain, and quantitatively predict the human brain's operations. Computer models are highly sophisticated tools developed to achieve an integrated knowledge of the brain with the aim of overcoming the actual fragmentation resulting from different neuroscientific approaches. In this paper we investigate the plausibility of simulation technologies for emulation of consciousness and the potential clinical impact of large-scale brain simulation on the assessment and care of disorders of consciousness (DOCs), e...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29728939/coping-strategies-in-caregivers-of-disorders-of-consciousness-patients
#5
Francesco Corallo, Lilla Bonanno, Viviana Lo Buono, Simona De Salvo, Carmela Rifici, Alessia Bramanti, Silvia Marino
OBJECTIVE: The management of patients with disorders of consciousness (DOC) has raised several important ethical, social, and medical issues. It is also known that families and caregivers are subjected to physical and emotional load due to their assistance activity. The aim of this observational study was to compare distress and coping strategies used among caregivers of two kinds of DOC: vegetative state (VS) and minimally conscious state (MCS). METHODS: We have enrolled 80 caregivers (mean age 47...
May 4, 2018: Neurological Sciences
https://www.readbyqxmd.com/read/29718865/basal-ganglion-hematoma-evacuation-and-clipping-of-middle-cerebral-artery-aneurysm-by-neuroendoscopy-a-case-report
#6
Qiang Cai, Wenfei Zhang, Baowei Ji, Xiang Ding, Zhibiao Chen, Qianxue Chen
RATIONALE: Basal ganglia hematomas resulting from the rupture of aneurysms of the distal middle cerebral artery (MCA) are extremely rare and are usually treated by craniotomy. To date, only 5 cases of MCA aneurysm have been treated using neuroendoscopy, and none of these cases involved hematomas. For the first time, we report a special case in which neuroendoscopy was used to evacuate a hematoma and clip an aneurysm at the same time. PATIENT CONCERNS: A massive basal ganglia hematoma in a 60-year-old man was evacuated using neuroendoscopy, and a distal MCA aneurysm was discovered and clipped successfully under the neuroendoscopy during the operation...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29684751/shedding-new-light-on-disorders-of-consciousness-diagnosis-the-dynamic-functional-connectivity
#7
Antonino Naro, Alessia Bramanti, Antonino Leo, Alberto Cacciola, Alfredo Manuli, Placido Bramanti, Rocco S Calabrò
It has been proposed that awareness may depend on the highly-dynamic functional connectivity of large-scale cortico-thalamo-cortical networks. We investigated how brain connectivity changes over time in the resting state in a group of patients with chronic disorders of consciousness (DoC). To this end, we assessed dynamic functional connectivity (DFC) in the resting state by analyzing the time-dependent EEG phase synchronization in five frequency bands (δ, θ, α, β, and γ). Patients in Minimally Conscious State (MCS) showed changes in DFC matrices and topography over time (mainly in the γ range), which were significantly different from those observed in patients with Unresponsive Wakefulness Syndrome (UWS)...
April 4, 2018: Cortex; a Journal Devoted to the Study of the Nervous System and Behavior
https://www.readbyqxmd.com/read/29666960/consciousness-indexing-and-outcome-prediction-with-resting-state-eeg-in-severe-disorders-of-consciousness
#8
Sabina Stefan, Barbara Schorr, Alex Lopez-Rolon, Iris-Tatjana Kolassa, Jonathan P Shock, Martin Rosenfelder, Suzette Heck, Andreas Bender
We applied the following methods to resting-state EEG data from patients with disorders of consciousness (DOC) for consciousness indexing and outcome prediction: microstates, entropy (i.e. approximate, permutation), power in alpha and delta frequency bands, and connectivity (i.e. weighted symbolic mutual information, symbolic transfer entropy, complex network analysis). Patients with unresponsive wakefulness syndrome (UWS) and patients in a minimally conscious state (MCS) were classified into these two categories by fitting and testing a generalised linear model...
April 17, 2018: Brain Topography
https://www.readbyqxmd.com/read/29661479/the-minimally-conscious-state-the-disability-bias-and-the-moral-authority-of-advance-directives
#9
Stephen Napier
No abstract text is available yet for this article.
April 13, 2018: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/29653106/assessment-of-nociception-and-pain-in-participants-with-unresponsive-or-minimally-conscious-state-after-acquired-brain-injury-the-relationship-between-the-coma-recovery-scale-revised-and-the-nociception-coma-scale-revised
#10
Camille Chatelle, Solveig L Hauger, Charlotte Martial, Frank Becker, Bernd Eifert, Dana Boering, Joseph T Giacino, Steven Laureys, Marianne Løvstad, Petra Maurer-Karattup
OBJECTIVE: Investigate the relationship between consciousness and nociceptive responsiveness (i.e., Nociception Coma Scale-Revised [NCS-R]), examine the suitability of the NCS-R for assessing nociception in participants with disorders of consciousness (DoC) and replicate previous findings on psychometric properties of the scale. DESIGN: We prospectively assessed consciousness with the Coma Recovery Scale-Revised (CRS-R). Responses during baseline, non-noxious and noxious stimulations were scored with the NCS-R, CRS-R oromotor and motor subscales...
April 10, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29649978/personalized-objects-can-optimize-the-diagnosis-of-emcs-in-the-assessment-of-functional-object-use-in-the-crs-r-a-double-blind-randomized-clinical-trial
#11
Yuxiao Sun, Jianan Wang, Lizette Heine, Wangshan Huang, Jing Wang, Nantu Hu, Xiaohua Hu, Xiaohui Fang, Supeng Huang, Steven Laureys, Haibo Di
BACKGROUND: Behavioral assessment has been acted as the gold standard for the diagnosis of disorders of consciousness (DOC) patients. The item "Functional Object Use" in the motor function sub-scale in the Coma Recovery Scale-Revised (CRS-R) is a key item in differentiating between minimally conscious state (MCS) and emergence from MCS (EMCS). However, previous studies suggested that certain specific stimuli, especially something self-relevant can affect DOC patients' scores of behavioral assessment scale...
April 12, 2018: BMC Neurology
https://www.readbyqxmd.com/read/29623396/resistance-to-eye-opening-in-patients-with-disorders-of-consciousness
#12
Hjalmar Jochem van Ommen, Aurore Thibaut, Audrey Vanhaudenhuyse, Lizette Heine, Vanessa Charland-Verville, Sarah Wannez, Olivier Bodart, Steven Laureys, Olivia Gosseries
INTRODUCTION: Resistance to eye opening (REO) is a commonly encountered phenomenon in clinical practice. We aim to investigate whether REO is a sign of consciousness or a reflex in severely brain-injured patients. METHODS: We recorded REO in chronic patients with disorders of consciousness during a multimodal diagnostic assessment. REO evaluations were performed daily in each patient and clinical diagnosis of unresponsive wakefulness syndrome (UWS), minimally conscious state with (MCS+) or without (MCS-) preserved language processing was made using the Coma Recovery Scale-Revised (CRS-R)...
April 5, 2018: Journal of Neurology
https://www.readbyqxmd.com/read/29607777/the-cognitive-assessment-by-visual-election-cave-a-pilot-study-to-develop-a-cognitive-assessment-tool-for-people-emerging-from-disorders-of-consciousness
#13
Lesley Murphy
Instruments for assessing people with disorders of consciousness have been developed over the last 15 years, but there remains a dearth of suitable assessment paradigms for those who have emerged from disorders of consciousness. This paper presents a pilot study for the development of the Cognitive Assessment by Visual Election (CAVE), a short assessment designed to investigate a number of cognitive domains in very severely brain injured patients who are in or have emerged from minimally conscious states (EMCS)...
April 2, 2018: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/29575425/degrees-of-functional-connectome-abnormality-in-disorders-of-consciousness
#14
Dmitry O Sinitsyn, Liudmila A Legostaeva, Elena I Kremneva, Sofya N Morozova, Alexandra G Poydasheva, Elizaveta G Mochalova, Oksana G Chervyakova, Julia V Ryabinkina, Natalia A Suponeva, Michael A Piradov
Understanding the neuronal basis of disorders of consciousness can help improve the accuracy of their diagnosis, indicate potential targets for therapeutic interventions, and provide insights into the organization of normal conscious information processing. Measurements of brain activity have been used to find associations of the levels of consciousness with brain complexity, topological features of functional connectomes, and disruption of resting-state networks. However, obtainment of a detailed picture of activity patterns underlying the vegetative state/unresponsive wakefulness syndrome and the minimally conscious state remains a work in progress...
March 25, 2018: Human Brain Mapping
https://www.readbyqxmd.com/read/29572926/regional-brain-volumetry-and-brain-function-in-severely-brain-injured-patients
#15
Jitka Annen, Gianluca Frasso, Julia Sophia Crone, Lizette Heine, Carol Di Perri, Charlotte Martial, Helena Cassol, Athena Demertzi, Lionel Naccache, Steven Laureys
OBJECTIVE: The relationship between residual brain tissue in patients with disorders of consciousness (DOC) and the clinical condition is unclear. This observational study aimed to quantify gray (GM) and white matter (WM) atrophy in states of (altered) consciousness. METHODS: Structural T1-weighted magnetic resonance images were processed for 102 severely brain-injured and 52 healthy subjects. Regional brain volume was quantified for 158 (sub)cortical regions using Freesurfer...
April 2018: Annals of Neurology
https://www.readbyqxmd.com/read/29569993/deaths-after-feeding-tube-withdrawal-from-patients-in-vegetative-and-minimally-conscious-states-a-qualitative-study-of-family-experience
#16
Jenny Kitzinger, Celia Kitzinger
BACKGROUND: Families of patients in vegetative or minimally conscious states are often horrified by the suggestion of withdrawing a feeding tube, even when they believe that their relative would not have wanted to be maintained in their current condition. Very little is known about what it is like to witness such a death. AIM: To understand these families' experience of their relatives' deaths. DESIGN: Qualitative study using in-depth narrative interviews analyzed inductively with thematic analysis...
March 1, 2018: Palliative Medicine
https://www.readbyqxmd.com/read/29565697/music-interventions-in-disorders-of-consciousness-doc-a-systematic-review
#17
Teresa Grimm, Gunter Kreutz
OBJECTIVES: The effects of music interventions including active and receptive music therapy for people living with neurogenic disorders of consciousness (DOC) have been subject to empirical studies in the past. The aim of this systematic review was to find and analyse the current research about the effects of musical interventions on people with DOC. METHODS: For this purpose, studies with music interventions and patients with DOC from the year 1900 to 2017 were searched in English, German, and French in different databases...
March 22, 2018: Brain Injury: [BI]
https://www.readbyqxmd.com/read/29562552/physical-therapy-in-patients-with-disorders-of-consciousness-impact-on-spasticity-and-muscle-contracture
#18
A Thibaut, S Wannez, T Deltombe, G Martens, S Laureys, C Chatelle
BACKGROUND: Spasticity is a frequent complication after severe brain injury, which may prevent the rehabilitation process and worsen the patients' quality of life. OBJECTIVES: In this study, we investigated the correlation between spasticity, muscle contracture, and the frequency of physical therapy (PT) in subacute and chronic patients with disorders of consciousness (DOC). METHODS: 109 patients with subacute and chronic disorders of consciousness (Vegetative state/Unresponsive wakefulness syndrome - VS/UWS; minimally conscious state - MCS and patients who emerged from MCS - EMCS) were included in the study (39 female; mean age: 40±13...
2018: NeuroRehabilitation
https://www.readbyqxmd.com/read/29551989/could-arterial-spin-labeling-distinguish-patients-in-minimally-conscious-state-from-patients-in-vegetative-state
#19
Bing Wu, Yi Yang, Shuai Zhou, Wei Wang, Zizhen Wang, Gang Hu, Jianghong He, Xinhuai Wu
Purpose: Diagnostic error is common among patients with vegetative state (VS) and minimally conscious state (MCS). The purpose of this article is to use three-dimensional pseudo-continuous arterial spin labeling (pcASL) to compare cerebral blood flow (CBF) patterns in patients in MCS with those in VS. Methods: Patients meeting MCS and VS criteria were identified. Two post-labeling delay (PLD) time pcASL on 3.0-Tesla magnetic resonance imaging scanner system were performed with patients in the resting awake state...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29521735/are-you-there-the-growing-need-to-get-the-right-diagnosis-in-disorder-of-consciousness
#20
Michele Torrisi, Adriana Piccolo, Rosaria De Luca, Matteo Berenati, Antonella Olivo, Giuseppa Maresca, Antonino Naro, Rocco Salvatore Calabrò
Disorder of consciousness (DOC) can be either an acute and reversible condition or a chronic condition, including vegetative state or minimally conscious state. Herein, we describe a patient who has unexpectedly recovered consciousness after being in a misdiagnosed vegetative state for a long period. A 63-year-old woman was admitted to our rehabilitation center in vegetative state (Coma Recovery Scale-Revised score, 6) and treated with a standard rehabilitation program, including physical therapy and multisensory stimulation, besides psychoactive drugs...
April 2018: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
keyword
keyword
51634
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"