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Brain Connectivity in Pathological and Pharmacological Coma

Overview of attention for article published in Frontiers in Systems Neuroscience, January 2010
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Title
Brain Connectivity in Pathological and Pharmacological Coma
Published in
Frontiers in Systems Neuroscience, January 2010
DOI 10.3389/fnsys.2010.00160
Pubmed ID
Authors

Quentin Noirhomme, Andrea Soddu, Rémy Lehembre, Audrey Vanhaudenhuyse, Pierre Boveroux, Mélanie Boly, Steven Laureys

Abstract

Recent studies in patients with disorders of consciousness (DOC) tend to support the view that awareness is not related to activity in a single brain region but to thalamo-cortical connectivity in the frontoparietal network. Functional neuroimaging studies have shown preserved albeit disconnected low-level cortical activation in response to external stimulation in patients in a "vegetative state" or unresponsive wakefulness syndrome. While activation of these "primary" sensory cortices does not necessarily reflect conscious awareness, activation in higher-order associative cortices in minimally conscious state patients seems to herald some residual perceptual awareness. PET studies have identified a metabolic dysfunction in a widespread frontoparietal "global neuronal workspace" in DOC patients including the midline default mode network ("intrinsic" system) and the lateral frontoparietal cortices or "extrinsic system." Recent studies have investigated the relation of awareness to the functional connectivity within intrinsic and extrinsic networks, and with the thalami in both pathological and pharmacological coma. In brain damaged patients, connectivity in all default network areas was found to be non-linearly correlated with the degree of clinical consciousness impairment, ranging from healthy controls and locked-in syndrome to minimally conscious, vegetative, coma, and brain dead patients. Anesthesia-induced loss of consciousness was also shown to correlate with a global decrease in cortico-cortical and thalamo-cortical connectivity in both intrinsic and extrinsic networks, but not in auditory, or visual networks. In anesthesia, unconsciousness was also associated with a loss of cross-modal interactions between networks. These results suggest that conscious awareness critically depends on the functional integrity of thalamo-cortical and cortico-cortical frontoparietal connectivity within and between "intrinsic" and "extrinsic" brain networks.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 151 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 4 3%
Germany 1 <1%
Switzerland 1 <1%
France 1 <1%
Italy 1 <1%
Sweden 1 <1%
Netherlands 1 <1%
Canada 1 <1%
United Kingdom 1 <1%
Other 2 1%
Unknown 137 91%

Demographic breakdown

Readers by professional status Count As %
Researcher 32 21%
Student > Ph. D. Student 29 19%
Student > Master 19 13%
Professor > Associate Professor 12 8%
Student > Bachelor 10 7%
Other 37 25%
Unknown 12 8%
Readers by discipline Count As %
Medicine and Dentistry 43 28%
Neuroscience 29 19%
Psychology 24 16%
Agricultural and Biological Sciences 15 10%
Engineering 8 5%
Other 17 11%
Unknown 15 10%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 May 2018.
All research outputs
#20,228,193
of 22,753,345 outputs
Outputs from Frontiers in Systems Neuroscience
#1,222
of 1,340 outputs
Outputs of similar age
#156,826
of 163,776 outputs
Outputs of similar age from Frontiers in Systems Neuroscience
#19
of 23 outputs
Altmetric has tracked 22,753,345 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,340 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.6. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 163,776 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 23 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.