2010
A network approach to assessing cognition in disorders of consciousness(e–Pub ahead of print)(CME)
Rodriguez Moreno D, Schiff N, Giacino J, Kalmar K, Hirsch J. A network approach to assessing cognition in disorders of consciousness(e–Pub ahead of print)(CME). Neurology 2010, 75: 1871-1878. PMID: 20980667, PMCID: PMC2995384, DOI: 10.1212/wnl.0b013e3181feb259.Peer-Reviewed Original ResearchMeSH KeywordsAdultAwarenessBrainCognitionConsciousness DisordersFemaleGlasgow Coma ScaleHumansMagnetic Resonance ImagingMaleMiddle AgedNerve NetNeuropsychological TestsPattern Recognition, VisualPersistent Vegetative StatePoint-of-Care SystemsQuadriplegiaSensitivity and SpecificityVerbal BehaviorYoung AdultConceptsDisorders of consciousnessVegetative stateComa Recovery ScaleHigh-level cognitionObject-naming taskPicture-naming taskLanguage-related regionsElicit brain activationEMCS patientsVS patientsHealthy subjectsDiagnostic criteriaPatientsVolitional processesRecovery ScaleBrain activationLanguage networkFMRI studyMotor responseOvert behaviorConscious stateNeural systemsBehavioral assessmentCognitionPartial preservation
2009
Behavioral assessment in patients with disorders of consciousness: gold standard or fool's gold?
Giacino JT, Schnakers C, Rodriguez-Moreno D, Kalmar K, Schiff N, Hirsch J. Behavioral assessment in patients with disorders of consciousness: gold standard or fool's gold? Progress In Brain Research 2009, 177: 33-48. PMID: 19818893, DOI: 10.1016/s0079-6123(09)17704-x.Peer-Reviewed Original ResearchConceptsDisorders of consciousnessMedication side effectsSevere brain injuryAssessment of patientsBehavioral assessmentCurrent diagnostic criteriaFunctional neuroimaging findingsBrain injuryInvoluntary movementsNeuroimaging findingsMotor impairmentDiagnostic criteriaSide effectsBehavioral assessment techniquesNeurophysiologic markersVegetative stateConscious stateGold standardBehavioral assessment methodsFunctional neuroimagingPatientsDisordersIndirect evidenceBehavioral markersMarkers
2008
Neuroimaging and Disorders of Consciousness: Envisioning an Ethical Research Agenda
Fins* J, Illes* J, Bernat** J, Hirsch** J, Laureys** S, Murphy** E. Neuroimaging and Disorders of Consciousness: Envisioning an Ethical Research Agenda. The American Journal Of Bioethics 2008, 8: 3-12. PMID: 18853371, DOI: 10.1080/15265160802318113.Peer-Reviewed Original ResearchMeSH KeywordsBrain InjuriesConsciousnessConsciousness DisordersCooperative BehaviorDiagnostic Techniques, NeurologicalEthics, ResearchHuman ExperimentationHumansNervous System Physiological PhenomenaNeurologyPainPatient SelectionPersistent Vegetative StatePhysical StimulationResearch DesignSocial JusticeThird-Party ConsentConceptsDisorders of consciousnessEthical research agendaEthical reflectionEthical framesScientific progressScientific backdropConsciousnessConscious stateLimited stateInterdisciplinary approachWorking meetingsResearch agendaEthicsNeuroethicsNeuroscientistsReflectionBackdropStanford UniversityAgendaUnderstandingConferenceTranslation
2006
Functional Neuroimaging Applications for Assessment and Rehabilitation Planning in Patients With Disorders of Consciousness
Giacino JT, Hirsch J, Schiff N, Laureys S. Functional Neuroimaging Applications for Assessment and Rehabilitation Planning in Patients With Disorders of Consciousness. Archives Of Physical Medicine And Rehabilitation 2006, 87: 67-76. PMID: 17140882, DOI: 10.1016/j.apmr.2006.07.272.Peer-Reviewed Original ResearchConceptsDisorders of consciousnessHigher-order association corticesStudy of patientsRestoration of functionPrimary cortical areasFunctional magnetic resonanceFunctional neuroimaging techniquesFunctional neuroimaging protocolsPotential clinical applicationsPathophysiologic mechanismsPattern of activationPatient characterizationPositron emission tomography activation studyDifferential diagnosisPrognostic assessmentDisconnection syndromeCortical areasAssociation cortexLarge-scale cortical networksPatientsNeuroimaging protocolVegetative stateNeuroimaging techniquesConscious stateCortical networks
2005
fMRI reveals large-scale network activation in minimally conscious patients
Schiff N, Rodriguez-Moreno D, Kamal A, Kim K, Giacino J, Plum F, Hirsch J. fMRI reveals large-scale network activation in minimally conscious patients. Neurology 2005, 64: 514-523. PMID: 15699384, DOI: 10.1212/01.wnl.0000150883.10285.44.Peer-Reviewed Original ResearchMeSH KeywordsAcoustic StimulationAdultAttentionAuditory CortexAwarenessCerebral HemorrhageCraniocerebral TraumaEncephalomalaciaFixation, OcularHumansLanguageMagnetic Resonance ImagingMalePersistent Vegetative StatePhysical StimulationSomatosensory CortexTemporal LobeTouchVerbal BehaviorWounds, NonpenetratingConceptsCognitive functionCortical activityLanguage-related tasksResidual cognitive functionMiddle temporal gyrusTactile stimulationMeaningless stimuliActive cortical networkConscious stateLanguage stimulationNeurobiological correlatesLanguage functionTemporal gyrusBehavioral evidenceMCS patientsCortical systemsLinguistic contentAuditory stimulationCortical networksLanguage processingCerebral networksNetwork activationCortical responsesCommunication abilityFMRI maps