Brain imaging reveals covert consciousness during behavioral unresponsiveness induced by propofol

Z Huang, PE Vlisides, VC Tarnal, EL Janke… - Scientific reports, 2018 - nature.com
Z Huang, PE Vlisides, VC Tarnal, EL Janke, KM Keefe, MM Collins, AM McKinney, P Picton…
Scientific reports, 2018nature.com
Detecting covert consciousness in behaviorally unresponsive patients by brain imaging is of
great interest, but a reproducible model and evidence from independent sources is still
lacking. Here we demonstrate the possibility of using general anesthetics in a within-
subjects study design to test methods or statistical paradigms of assessing covert
consciousness. Using noninvasive neuroimaging in healthy volunteers, we identified a
healthy study participant who was able to exhibit the specific fMRI signatures of volitional …
Abstract
Detecting covert consciousness in behaviorally unresponsive patients by brain imaging is of great interest, but a reproducible model and evidence from independent sources is still lacking. Here we demonstrate the possibility of using general anesthetics in a within-subjects study design to test methods or statistical paradigms of assessing covert consciousness. Using noninvasive neuroimaging in healthy volunteers, we identified a healthy study participant who was able to exhibit the specific fMRI signatures of volitional mental imagery while behaviorally unresponsive due to sedation with propofol. Our findings reveal a novel model that may accelerate the development of new approaches to reproducibly detect covert consciousness, which is difficult to achieve in patients with heterogeneous and sometimes clinically unstable neuropathology.
nature.com
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