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At least 793 records · Page 44Linked to original sources
PubMed2004

Single-unit activity of paraventricular nucleus neurons in response to intero- and exteroceptive stressors in conscious, freely moving rats.

Extracellular recordings of 114 neurons in the hypothalamic paraventricular nucleus (PVN) of conscious, freely moving male rats were performed using a movable electrode system. Single-unit activities were examined for their spontaneous firing patterns and responses to intero- and exteroceptive stressors, including disturbance in arterial blood pressure, water deprivation, air-jet stimulation, and systemic administration of cholecystokinin-8 (CCK). PVN neurons were assigned to one of two groups on the basis of their spontaneous firing patterns: phasic (n=29) and non-phasic (n=85). Intravenous (i.v.) administration of phenylephrine (8 microg/kg) resulted in the inhibition of a greater percentage of phasic-type (88.9%; 24/27) than non-phasic-type neurons (14.9%; 11/74). Most phasic-type neurons showed excitation in response to i.v. administration of sodium nitroprusside (20 microg/kg, 66.7%; 18/27) and water deprivation (15 h, 77.8%; 7/9) when compared to non-phasic-type neurons. Conversely, a greater number of non-phasic-type neurons showed excitation in response to air-jet stimulation (5 l/min, 10 s, 29.0%; 20/69) and to i.v. administration of CCK (5 microg/kg, 24.5%; 11/45) when compared to phasic-type neurons. However, most non-phasic-type neurons that demonstrated excitation in response to i.v. administration of CCK (88.9%; 8/9) did not respond to air-jet stimulation. The present study indicated that phasically firing neurons recorded from the PVN in conscious, freely moving rats are putative vasopressin-secreting neurons on the basis of their responses to intero- and exteroceptive stressors. These data contribute to our understanding of local neural mechanisms within the PVN that are responsible for stress responses in conscious rats.

Action Potentials↗
PubMed2005

Simple clinical predictors of brain lesions in patients with impaired consciousness: a cross sectional study from a rural, tertiary hospital in central India.

OBJECTIVE: To evaluate the diagnostic accuracy of vital signs for detecting brain lesions in patients with impaired consciousness in a rural setting. METHODS: We enrolled patients older than 12 years who presented with impaired consciousness of non-traumatic origin to the intensive care unit of a rural teaching hospital. The design was a cross sectional analysis of a hospital-based case series, independently comparing vital signs on admission (temperature, pulse, systolic and diastolic blood pressure) against a reference standard (final diagnosis). Diagnostic accuracy was measured by computing multi-level likelihood ratios, and area under the receiver operating characteristic (ROC) curve. RESULTS: We studied 386 patients of whom 242 (62.7%) were men. A total of 178 patients (46%) had a brain lesion. None of the clinical predictors could accurately distinguish between those with and without a brain lesion. The area under the ROC curve for pulse was 0.61 (S.E. 0.02); that for the systolic and diastolic blood pressure 0.70 (S.E. 0.02) each. Systolic BP provided informative test results in 29.7%, diastolic BP in 37.2% and pulse rate in 19.9% patients. CONCLUSION: Our findings suggest that the vital signs lack accuracy for ruling in or ruling out brain lesion in patients with impaired consciousness.

Adolescent↗
PubMed2006

Ulnar F wave generation assessed within 3 days after the onset of stroke in patients with relatively preserved level of consciousness.

OBJECTIVE: The present study aimed to detect any significant changes of F wave variables associated with acute hemiparesis in a group of stroke patients with relatively preserved consciousness (Glascow Coma Scale (GCS) score 8 or higher) and to detect the possible clinical significance of F wave recording in acute stroke patients for diagnostic purposes. PATIENTS AND METHODS: Thirty-two consecutive patients with mean age 65+/-10.6 years admitted with a diagnosis of acute ischemic or primary hemorrhagic stroke were studied. A series of 40 electrical stimuli were delivered to the ulnar nerve bilaterally in order to obtain F waves. F wave studies were performed within 3 days from stroke's onset. The following variables were estimated and then compared between affected and unaffected side: F persistence, F wave latency, amplitude, duration and chronodispersion. A group of 30 healthy age-matched subjects served as control. RESULTS: F persistence was significantly lower in both affected and unaffected sides as compared to controls. There was no statistical differences of latency values between control and either side of the stroke' patients. A significant decrease of maximum F wave amplitude was detected in both affected and unaffected side as opposed to controls. Separate analysis of the subgroup of 15 patients with stroke and completely normal level of consciousness (GCS score 15) did not showed any significant differences of F wave variables in the affected or unaffected side compared with controls. CONCLUSION: The F wave persistence is not expected to be suppressed in the first few days after stroke unless the level of consciousness is reduced. The routine F wave studies are not appropriate to evaluate the severity of motor deficit, at least in the immediate period after a stroke incident.

Action Potentials↗
PubMed2005

Emotion and consciousness: ends of a continuum.

We suggest a united concept of consciousness and emotion, based on the systemic cognitive neuroscience perspective regarding organisms as active and goal-directed. We criticize the idea that consciousness and emotion are psychological phenomena having quite different neurophysiological mechanisms. We argue that both characterize a unified systemic organization of behavior, but at different levels. All systems act to achieve intended behavioral results in interaction with their environment. Differentiation of this interaction increases during individual development. Any behavioral act is a simultaneous realization of systems ranking from the least to the most differentiated. We argue that consciousness and emotion are dynamic systemic characteristics that are prominent at the most and least differentiated systemic levels, correspondingly. These levels are created during development. Our theory is based on both theoretical and empirical research and provides a solid framework for experimental work.

Animals↗
PubMed2005

Conscious recollection in autobiographical memory: an investigation in schizophrenia.

Whether or not conscious recollection in autobiographical memory is affected in schizophrenia is unknown. The aim of this study was to address this issue using an experiential approach. An autobiographical memory enquiry was used in combination with the Remember/Know procedure. Twenty-two patients with schizophrenia and 22 normal subjects were asked to recall specific autobiographical memories from four lifetime periods and to indicate the subjective states of awareness associated with the recall of what happened, when and where. They gave Remember, Know or Guess responses according to whether they recalled these aspects of the event on the basis of conscious recollection, simply knowing, or guessing. Results showed that the frequency and consistency of Remember responses was significantly lower in patients than in comparison subjects. In contrast, the frequency of Know responses was not significantly different, whereas the frequency of patients' Guess responses was significantly enhanced. It is concluded that the frequency and consistency of conscious recollection in autobiographical memory is reduced in patients with schizophrenia.

Adolescent↗
PubMed2005

Dissociating size representation for action and for conscious judgment: Grasping visual illusions without apparent obstacles.

Visual illusions provide important evidence for the co-existence of unconscious and conscious representations. Objects surrounded by other figures (e.g., a disc surrounded by smaller or larger rings, Ebbinghaus/Titchener illusion) are consciously perceived as different in size, while the visuo-motor system supposedly uses an unconscious representation of the discs' true size for grip size scaling. Recent evidence suggests other factors than represented size, e.g., surrounding rings conceived as obstacles, affect grip size. Use of the diagonal illusion avoids visual obstacles in the path of the reaching hand. Results support the dual representation theory. Grip size scaling follows actual size independent of illusory effects, which clearly bias conscious perception in direct comparisons of lengths (Experiment 1) and in finger-thumb span indications of perceived length (Experiment 2).

Adult↗
PubMed2005

Episodic autobiographical memory in depression: Specificity, autonoetic consciousness, and self-perspective.

Autobiographical memory (AM) and the self are closely linked. AM retrieval in depression is characterized by a lack of specificity, suggesting an impairment of episodic AM. Autonoetic consciousness and self-perspective, which are critical to episodic AM, have never been addressed in depression. Twenty-one depressed inpatients and 21 matched controls were given an episodic AM task designed to assess positive and negative memories regarding specificity, autonoetic consciousness (remember/know procedure), and self-perspective (field/observer procedure). For specificity, "remember", and "field" responses, ANOVAs revealed a main group effect and a group x valence interaction. Between groups, patients showed lower scores than controls for positive memories. Within groups, patients showed greater scores for negative memories, and controls showed greater scores for positive memories. There is a global episodic AM impairment of positive memories in depression regarding specificity, autonoetic consciousness, and self-perspective. Our results suggest new cognitive interventions to improve the self-relevance of positive memories in depression.

Adult↗
PubMed2004

Impact of age and blood pressure on the lower arterial pressure limit for maintenance of consciousness during passive upright posture in healthy vasovagal fainters: preliminary observations.

Maintenance of consciousness importantly depends on systemic arterial blood pressure (BP) remaining above the lower pressure limit for cerebrovascular autoregulation. This study evaluated the impact of age and baseline arterial blood pressure (BP) on the BP recorded at onset of syncope in otherwise healthy individuals undergoing passive head-up tilt (HUT) testing for suspected vasovagal syncope. Since hypertension is thought to shift the lower autoregulation point to higher values, and since older healthy patients tend to have higher BP than younger individuals, we hypothesized that even among healthy individuals HUT-induced syncope would occur at higher BP in older compared with younger subjects. Three groups of otherwise healthy individuals who had positive HUT were identified: Group 1: <25 years, n=17; Group 2: 25-59 years, n=18; and Group 3: > or =60 years, n=7. As expected, baseline arterial systolic blood pressure of patients > or =60 years (162+/-37 mmHg) was significantly higher than in the other two groups (Group 1: <25 years, 116+/-15 mmHg; Group 2: 25-59 years, 128+/-12 mmHg). Further, the > or =60 age group tolerated upright posture for a longer period before syncope than did younger patients. However, despite a trend for BP at syncope to increase with age, differences were small (Group 3: > or =60 years, 61+/-15 mmHg, Group 2: 25-59 years, 58+/-6 mmHg, and Group 1: 54+/-16 mmHg) and were not statistically significant. Thus, in generally healthy individuals, age and baseline BP has only a minor effect on the lower limit of BP necessary for maintenance of consciousness. On the other hand, higher baseline BP provides older individuals a greater blood pressure 'reserve' for maintenance of consciousness compared with younger subjects.

Adolescent↗
PubMed2004

Autonomic responding to aversive words without conscious valence discrimination.

A growing body of data suggests that the emotional dimension of a stimulus can be processed without conscious identification of the stimulus. The arousal system could be activated by unrecognised biologically significant stimuli through simple physical stimulus features related to threat, without any evaluation of the meaning of the stimulus. However, unconscious processing of emotionally laden words cannot rely only on perceptual features but must include some analysis of symbolic meaning. The first aim of the present study was to assess whether masked (unrecognised) aversive words can elicit enhanced skin conductance responses (SCRs), a major autonomic index of emotional arousal, in normal participants. Our second aim was to determine whether any autonomic activation related to affective value of words is independent from access of this value to consciousness. Thus, the presentation duration of masked aversive and neutral words was determined, for each participant, in such a way that (1) identification was precluded, (2) valence discrimination was at chance, as indicated by performance in a forced-choice two-alternative task and by confidence ratings of the responses, and (3) emotional and neutral words were not detected differentially. SCRs were recorded during masked and unmasked presentations of both types of word. SCRs elicited by unmasked words, and also by masked words, were of greater magnitude when the words were emotional than when they were neutral. Consequently, in normal participants, autonomic activation can be a discriminative marker of the affective dimension of unrecognised verbal material in the absence of conscious valence identification.

Adult↗
PubMed2006

Gender differences between predicted and measured propofol C(P50) for loss of consciousness.

OBJECTIVE: To investigate gender differences in the effective dose of 50% for loss of consciousness (C(P50LOC)) for propofol using Diprifusor, the most commonly used target-controlled infusion system. DESIGN: Prospective, randomized, comparative study. SETTING: University-affiliated hospital. PATIENTS: 50 ASA physical status I and II patients, aged 20 to 50 years, scheduled for minor surgery. INTERVENTIONS: Patients were randomized into two groups of 25 patients each. A target-controlled infusion of propofol (Diprifusor) was maintained at a predetermined target concentration. After a 10-minute steady state, blinded investigators evaluated patients' consciousness using verbal commands. The propofol test concentration was predetermined using a modified version of Dixon's up-and-down method (starting at 2.5 mug/mL; step size of 0.1 microg/mL). MEASUREMENT: Predicted and measured C(P50LOC) values and bispectral index (BIS) were obtained by averaging the crossover midpoint (ie, consciousness to unconsciousness). Those values were analyzed by unpaired t test: P < 0.05 was considered significant. RESULTS: The predicted C(P50LOC) for men was 2.14 +/- 0.10 microg/mL, which was lower than that for women, 2.55 +/- 0.11 microg/mL (P < 0.0001). No significant difference was found for measured C(P50LOC) in men (2.37 +/- 0.41 microg/mL) and in women (2.30 +/- 0.28 microg/mL) or for BIS measurements. CONCLUSION: Predicted C(P50LOC) by Diprifusor for men tended to be underestimated; that for women tended to be overestimated. Our data support a review of Diprifusor (Astra Zeneca, Osaka, Japan) pharmacokinetic parameters to avoid awareness during operation, particularly for women.

Adult↗
PubMed2004

Imaging cocaine-induced changes in the mesocorticolimbic dopaminergic system of conscious rats.

Functional magnetic resonance imaging (fMRI) was used to assess the effects of cocaine on brain activation in fully conscious rats. Methods were developed to image cocaine-induced changes in blood-oxygen-level-dependent (BOLD) signal without the peripheral cardiac and respiratory complications associated with psychostimulant administration. Using spin echo planar imaging (EPI), conscious rats were imaged in a 4.7 T spectrometer prior to and following the intracerebroventricular injection of cocaine (20 microg) in artificial cerebrospinal fluid (10 uL). Within 5 min of injection, there was a significant increase in BOLD signal intensity in the substantia nigra, ventral tegmental area, nucleus accumbens, dorsal striatum and prefrontal cortex, as compared to vehicle controls. Minimal negative BOLD signal changes were observed in response to cocaine and no significant perturbations in normal cardiovascular and respiratory function. These findings demonstrate the technical feasibility of studying psychostimulant-induced brain activity using functional MRI in conscious rats.

Animals↗
PubMed2004

Consciousness monitoring using near-infrared spectroscopy (NIRS) during high +Gz exposures.

The relationship between human consciousness and oxygen saturation (rSO(2)) in cerebral tissue under high +Gz stress was non-invasively monitored by near-infrared multiple wavelength spectroscopy (NIRS). We studied the drop in rSO(2) levels in human subjects during exposure to various head-to-foot acceleration (+Gz) profiles. These profiles included sustained +Gz plateaus and repeated short duration +Gz pulses of varying duration. The end point in this study was +Gz-induced loss of consciousness (G-LOC). The rSO(2) levels under normal (asymptomatic), almost loss of consciousness (A-LOC) and G-LOC conditions were recorded. Correlations among decrease in rSO(2), +Gz pulse duration, +Gz stress level and incapacitation time (ICAP) after G-LOC were also investigated. It was found that once rSO(2) fell to a certain level, G-LOC occurred. This threshold was repeatable and independent of the +Gz level or duration. It was also observed that the total ICAP after G-LOC was dependent on the length of time that rSO(2) remained below the G-LOC threshold level, i.e. the longer the rSO(2) level remained below the G-LOC induction level, the longer the subject remained unconscious. These results may prove to be useful in designing closed loop control systems for personal protective gear for pilots of high performance aircraft.

Adult↗
PubMed2005

A scientific paradigm for consciousness: a theory of premotor relations.

Consciousness has become a holy grail for scientific research only in the last few decades. In spite of the extensive recent research in the field agreement on a correct approach to a theory has been elusive. We all have an intuitive idea of what we mean by the term and at the very least relate awareness to a descriptive phenomenology. I present a theory of consciousness based on motor capacity. An organism may exert control through movement and any action it performs on its surroundings results in a reaction. This type of reafference generated by movement provides the organism with a unique opportunity to compare perceptual information, for example, a retinal image of a ball with what the body is telling the agent about the object. In other words, limb movements will describe a certain physical distance to the object and the shape will be conveyed by the arc described around it by any part of the body that comes into contact with it. The reafference, also called motor efference copy, can modulate neocortical networks strictly associated with concurrent perceptual information via input to thalamocortical projections. Concurrent perceptual and motor reafferent input provide the critical organizing principles bestowing on a neural assembly the capacity of conscious awareness. The cortical neural coding represents an interactive history and is what I call a premotor relation. It avoids the trap of behaviorism by emphasizing a developmental causality such that, once the networks are established no further motoric component is required. Supportive evidence for this position comes from the classic psychological studies of perceptual adaptation to distorting lenses facilitated by movement and elegant animal experiments dissociating sensorimotor development from visual exposure. One of the most innovative and useful conceptions advanced in the paper is a component theory of motor efference copy analyzing the two key parameters of any action namely force and proprioceptive change. There is massive neocortical input to the basal ganglia and cerebellum and recent research has implicated cognitive roles for these structures. I propose they serve the respective component parameters of motor efference copy. Finally, a theory of premotor relations provides a model for understanding how dysfunction in the basal ganglia and cerebellum relates to cognitive features of schizophrenia and autism, respectively. Motor dysfunction figures prominently in the early literature on these syndromes and I make the case for a fundamental causal connection between motor and cognitive symptoms.

Brain↗
PubMed2005

Neural correlates of consciousness: a definition of the dorsal and ventral streams and their relation to phenomenology.

The paper presents a hypothesis for a neural correlate of consciousness. A proposal is made that both the dorsal and ventral streams must be concurrently active to generate conscious awareness and that V1 (striate cortex) provides a serial link between them. An argument is presented against a true extrastriate communication between the dorsal and ventral streams. Secondly, a detailed theory is developed for the structure of the visual hierarchy. Premotor theory states that each organism-object interaction can be described by the two quantitative measures of torque and change in joint position served by the basal ganglia and cerebellum, respectively. This leads to a component theory of motor efference copy providing a fundamental tool for categorizing dorsal and ventral stream networks. The rationale for this is that the dorsal stream specifies spatial coordinates of the external world, which can be coded by the reafference of changes in joint position. The ventral stream is concerned with object recognition and is coded for by forces exerted on the world during a developmental exploratory phase of the organism. The proposed pathways for a component motor efference copy from both the cerebellum and basal ganglia converge on the thalamus and modulate thalamocortical projections via the thalamic reticular nucleus. The origin of the corticopontine projections, which are a massive pathway for cortical information to reach the cerebellum, coincides with the area typically considered as part of the dorsal stream, whereas the entire cortex projects to the striatum. This adds empirical support for a new conceptualization of the visual streams. The model also presents a solution to the binding problem of a neural correlate of consciousness, that is, how a distributed neural network synchronizes its activity during a cognitive event. It represents a reinterpretation of the current status of the visual hierarchy.

Animals↗
PubMed2005

Thalamic nicotinic receptors implicated in disturbed consciousness in dementia with Lewy bodies.

Disturbances of consciousness (DOC) are common in dementia with Lewy bodies (DLB). Following previous findings of preserved temporal cortical high-affinity nicotinic binding relating to DOC, we investigated this receptor in thalamus, an area of high nicotinic receptor concentration, implicated in consciousness. 5-[125I]-A-85380 binding, primarily reflecting the alpha4beta2 subtype, was compared in 16 DLB patients with DOC and 6 without DOC, matched for duration and severity of dementia. Binding was higher in patients with DOC compared to patients without DOC in all thalamic nuclei examined, reaching significance in the reticular and ventral anterior thalamic nuclei. Comparing DLB patients with and without DOC to previously reported controls revealed similar binding levels in patients with DOC and lower binding in patients without DOC, reaching significance in the ventral anterior, indicating preserved nicotinic receptor density in DLB patients with DOC. These findings, together with previous neocortical data, implicate nicotinic modulation of thalamo-cortical circuitry as a key component in the control of conscious awareness in DLB.

Aged↗
PubMed2005

Dissociation of conscious and unconscious repetition priming effect on event-related potentials.

Although the neural basis of the unconscious priming effect has previously been investigated, the results of these studies have possibly been contaminated by a conscious priming effect. The aim of the present study was to dissociate the effects of conscious and unconscious priming on event-related potential (ERP) by using the process-dissociation procedure. A prime word was presented briefly, followed by a word-stem, in each trial. Under the inclusion condition, subjects were instructed to complete the word-stem using the prime word, while under the exclusion condition subjects were asked to complete the word-stem with a word not seen as prime. The behavioral priming effect was obtained under both conditions, indicating that the prime words were processed unconsciously and influenced the word-stem completion task. We found that two ERP components were affected by repetition priming. First, the N400 amplitude was decreased by word repetition under the inclusion condition, but not under the exclusion condition. This result suggests that N400 would reflect conscious lexical processing, but not unconscious lexical activation. Second, the negativity at left front lateral region was enhanced by word repetition under the exclusion condition. We discuss this finding herein in relation to the activity of the left inferior prefrontal cortex with regard to word semantic processing.

Adolescent↗
PubMed2005

Change in perfusion, hallucinations and fluctuations in consciousness in dementia with Lewy bodies.

Fluctuations in consciousness and visual hallucinations are common neuropsychiatric features of dementia with Lewy bodies and Parkinson's disease dementia. To investigate potential neural correlates, we compared how changes in brain perfusion over a 1-year period were related to changes in the severity of these key clinical features. We recruited 29 subjects with either Parkinson's disease with dementia (15 subjects) or dementia with Lewy bodies (14 subjects). Cerebral perfusion was measured using HMPAO SPECT at baseline, and repeated 1 year later. The presence of hallucinations (Neuropsychiatric Inventory), severity of fluctuations in consciousness (fluctuation assessment scale) and cognitive ability (CAMCOG) were assessed at both time points. After controlling for changes in cognitive ability and effect of cholinesterase medication, we found a significant correlation between an increase in perfusion in midline posterior cingulate and decrease in hallucination severity. There was also a significant correlation between increased fluctuations of consciousness and increased thalamic and decreased inferior occipital perfusion. We have identified important neural correlates of key clinical features in Lewy body dementia and postulate that the associations can be understood through the influence of the cholinergic system on attention.

Aged↗
PubMed2006

Towards a true neural stance on consciousness.

Consciousness is traditionally defined in mental or psychological terms. In trying to find its neural basis, introspective or behavioral observations are considered the gold standard, to which neural measures should be fitted. I argue that this poses serious problems for understanding the mind-brain relationship. To solve these problems, neural and behavioral measures should be put on an equal footing. I illustrate this by an example from visual neuroscience, in which both neural and behavioral arguments converge towards a coherent scientific definition of visual consciousness. However, to accept this definition, we need to let go of our intuitive or psychological notions of conscious experience and let the neuroscience arguments have their way. Only by moving our notion of mind towards that of brain can progress be made.

Attention↗