Are coma patients still able of cognition and emotionand to what extend? Such questions can beinvestigated with auditory Event-Related Potentials(ERPs) and Skin Conductance Response (SCR). Cognitivefunctions were tested with several paradigms in 44coma patients and emotional response in fifteen ofthem. In at least 7 % (N=44) of these patients anexplicit semantic processing and thus a minimalremaining consciousness could not be excluded. Thisstudy is the first to demonstrate semantic processingin coma. We found a correlation between emotional SCRand level of consciousness as measured by the GCS andthe Cook and Palma scores in agreement with the weakemotional SCR observed in these patients. Some ERPs,when observed in coma have also a prognosis value. Weconducted a meta-analysis on 337 to 612 patientsshowing that the N100, the Mismatch Negativity, andthe P300 predict awakening from coma. This workprovides new insights on the coma state and suggestsnew methods of assessment of these patients formedical practitioners.
Are coma patients still able of cognition and emotionand to what extend? Such questions can beinvestigated with auditory Event-Related Potentials(ERPs) and Skin Conductance Response (SCR). Cognitivefunctions were tested with several paradigms in 44coma patients and emotional response in fifteen ofthem. In at least 7 % (N=44) of these patients anexplicit semantic processing and thus a minimalremaining consciousness could not be excluded. Thisstudy is the first to demonstrate semantic processingin coma. We found a correlation between emotional SCRand level of consciousness as measured by the GCS andthe Cook and Palma scores in agreement with the weakemotional SCR observed in these patients. Some ERPs,when observed in coma have also a prognosis value. Weconducted a meta-analysis on 337 to 612 patientsshowing that the N100, the Mismatch Negativity, andthe P300 predict awakening from coma. This workprovides new insights on the coma state and suggestsnew methods of assessment of these patients formedical practitioners.
In spite of medical advances and the increasing number of severely brain-injured patients, the assessment and treatment of patients recovering from coma remain challenging. For over 10 years now, the...
Coma 3 is the third installment of the series and tells the story of how Ya Ya's came up after he finds a huge amount of money left behind by his role model who was killed.
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