Evidence map›Paper›PMID 38249572›Full record

ArticleFrontiers in human neuroscience2023

Diagnosing awareness in disorders of consciousness with gamma-band auditory responses.

Marek Binder, Julia Papiernik, Inga Griskova-Bulanova, Sandra Frycz, Bartłomiej Chojnacki, Urszula Górska-Klimowska

Abstract read
In one paragraph

Article in Frontiers in human neuroscience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Marek BinderInstitute of Psychology, Jagiellonian University, Kraków, Poland.
Julia PapiernikInstitute of Psychology, Jagiellonian University, Kraków, Poland.
Inga Griskova-BulanovaLife Sciences Centre, Institute of Biosciences, Vilnius University, Vilnius, Lithuania.
Sandra FryczInstitute of Psychology, Jagiellonian University, Kraków, Poland.
Bartłomiej ChojnackiDepartment of Mechanics and Vibroacoustics, Faculty of Mechanical Engineering and Robotics, AGH University of Krakow, Kraków, Poland.
Urszula Górska-KlimowskaDepartment of Psychiatry, University of Wisconsin-Madison, Madison, WI, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The prolonged disorders of consciousness (pDOC) describe a group of neurological conditions characterized by severe impairment of consciousness resulting from the injury of the central nervous system. As the behavioral diagnosis of pDOC remains challenging, the methods based on observing brain activity appear as promising alternatives. One of these methods is electroencephalography, which allows for noninvasive assessment of brain function. Methods: In this study, we evaluated evoked auditory responses to the chirp-modulated auditory stimulation as a potential biomarker of awareness in pDOC. Chirp-modulated stimulation is based on the repetitive presentation of auditory stimuli with a changing frequency over time. Two protocols were tested: amplitude-modulated narrow-band chirps (frequency range 25-55 Hz) and click-based wide-band chirps (30-100 Hz). The studied pDOC patient group included 62 patients (19 females and 43 males, mean age 40.72 years) diagnosed with Coma Recovery Scale-Revised. Envelope-following responses to stimulation were examined using the intertrial phase clustering coefficient. Results: For both types of stimulation, the strength of the response in the low-gamma range (around 40 Hz) was related to the diagnosis of pDOC. Patients diagnosed with unresponsive wakefulness syndrome exhibited diminished responses, while more favorable diagnoses, suggesting awareness (minimally conscious state or emergence from the minimally conscious state), showed elevated responses. The variations in the integrity of the auditory pathway and the etiology of brain injury altered the observed response strength. Narrow-band stimulation yielded a more systematic relationship between low-gamma response and pDOC diagnosis. Discussion: The results suggest the potential role of low gamma-band responses to chirp-modulated stimulation as the supportive diagnostic tool to detect awareness in the pDOC patient group.

Indexed as

auditory steady-state responsesauditory stimulationComa Recovery Scale-Revisedconsciousnessdisorders of consciousnessEEGenvelope following response

Identifiers

PMID38249572
PMCPMC10796678

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