Recognizing a mother's voice in the persistent vegetative state

被引:54
作者
Machado, C. [1 ]
Korein, J. [2 ]
Aubert, E.
Bosch, J.
Alvarez, M. A. [1 ]
Rodriguez, R.
Valdes, P.
Portela, L. [1 ]
Garcia, M. [1 ]
Perez, N.
Chinchilla, M. [1 ]
Machado, Y. [1 ]
Machado, Y. [1 ]
机构
[1] Inst Neurol & Neurosurg, Havana 10400, Cuba
[2] CUNY, Med Ctr, Dept Neurol, New York, NY 10021 USA
关键词
consciousness awareness; electroencephalography; gamma coherence; persistent vegetative state; quantitative electric tomography; vegetative state;
D O I
10.1177/155005940703800306
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We studied an 8-year-old boy after a near-drowning left him in a vegetative state (VS) for 4 years before the study. Findings fulfilled all clinical criteria for the diagnosis of The purpose of this study was to investigate whether there was significant differential activation of the brain in response to hearing his mother's voice compared with the voices of unknown women. The data were assessed using quantitative electric tomography (QEEGt), a technique that combines anatomical information of the brain by MRI with EEG patterns to estimate the sources of the EEG within the brain. We found significant differences for EEG frequencies from 14-58 Hz, with a peak at 33.2 Hz (gamma band). The 3D reconstruction showed that these statistical differences were localized in the lateral and posterior regions of the left hemisphere. No significant differences were found between unknown women vs. basal conditions. These results demonstrate recognition of the mother's voice and indicate high-level residual linguistic processing in a patient meeting clinical criteria for VS. These findings launch new ethical and practical implications for the management of VS patients.
引用
收藏
页码:124 / 126
页数:3
相关论文
共 24 条
[1]   3D statistical parametric mapping of EEG source spectra by means of Variable Resolution Electromagnetic Tomography (VARETA) [J].
Bosch-Bayard, J ;
Valdés-Sosa, P ;
Virues-Alba, T ;
Aubert-Vázquez, E ;
John, ER ;
Harmony, T ;
Riera-Díaz, J ;
Trujillo-Barreto, N .
CLINICAL ELECTROENCEPHALOGRAPHY, 2001, 32 (02) :47-61
[2]   OF HUMAN BONDING - NEWBORNS PREFER THEIR MOTHERS VOICES [J].
DECASPER, AJ ;
FIFER, WP .
SCIENCE, 1980, 208 (4448) :1174-1176
[3]   PRENATAL MATERNAL SPEECH INFLUENCES NEWBORNS PERCEPTION OF SPEECH SOUNDS [J].
DECASPER, AJ ;
SPENCE, MJ .
INFANT BEHAVIOR & DEVELOPMENT, 1986, 9 (02) :133-150
[4]  
DECASPER AJ, 1986, INT S DEV PSYCH ANN
[5]   Cerebral response to patient's own name in the vegetative and minimally conscious states [J].
Di, H. B. ;
Yu, S. M. ;
Weng, X. C. ;
Laureys, S. ;
Yu, D. ;
Li, J. Q. ;
Qin, P. M. ;
Zhu, Y. H. ;
Zhang, S. Z. ;
Chen, Y. Z. .
NEUROLOGY, 2007, 68 (12) :895-899
[6]   Late recovery from the minimally conscious state - Ethical and policy implications [J].
Fins, Joseph J. ;
Schiff, Nicholas D. ;
Foley, Kathleen M. .
NEUROLOGY, 2007, 68 (04) :304-307
[7]   Functional neuroimaging applications for assessment and rehabilitation planning in patients with disorders of consciousness [J].
Giacino, Joseph T. ;
Hirsch, Joy ;
Schiff, Nicholas ;
Laureys, Steven .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2006, 87 (12) :S67-S76
[8]   Diagnostic and prognostic guidelines for the vegetative and minimally conscious states [J].
Giacino, JT ;
Kalmar, K .
NEUROPSYCHOLOGICAL REHABILITATION, 2005, 15 (3-4) :166-174
[9]   Invariant reversible QEEG effects of anesthetics [J].
John, ER ;
Prichep, LS ;
Kox, W ;
Valdés-Sosa, P ;
Bosch-Bayard, J ;
Aubert, E ;
Tom, M ;
diMichele, F ;
Gugino, LD .
CONSCIOUSNESS AND COGNITION, 2001, 10 (02) :165-183
[10]   PREDICTION OF OUTCOME IN NON-TRAUMATIC COMA IN CHILDHOOD [J].
JOHNSTON, B ;
SESHIA, SS .
ACTA NEUROLOGICA SCANDINAVICA, 1984, 69 (06) :417-427