[en] OBJECTIVES: The aim of this study was to investigate the relationship between medial cortical activation and the presence of self and consciousness in healthy subjects and patients with vegetative state and minimally conscious state using functional magnetic resonance imaging (fMRI). EXPERIMENT DESIGN: We first conducted two fMRI experiments in healthy subjects to identify brain regions specifically associated with self-perception through the use of different auditory stimuli that had different grades of self-relatedness. We then applied these regions as functional localizers to examine the relationship between neural activity changes during self-relatedness and consciousness level in the patients with disorders of consciousness (DOC). PRINCIPAL OBSERVATIONS: We demonstrated recruitment of various anterior medial cortical regions including the anterior cingulate cortex (ACC) in healthy subjects during auditory perception of self-related stimuli. We further showed that patients with DOC showed signal changes in the ACC during auditory perception of self-related stimuli. Finally, it was shown that these signal changes correlate with the level of consciousness in the patients with DOC. CONCLUSION: The degree of consciousness in patients with DOC was correlated with neural activity in the ACC induced by self-related stimuli. Our results not only shed light on the pathophysiology of DOC, but may also suggest a useful neural, and thus diagnostic, marker of the dysfunction of consciousness in vegetative patients.
Centre de recherche :
GIGA CRC (Cyclotron Research Center) In vivo Imaging-Aging & Memory - ULiège
Disciplines :
Neurologie
Auteur, co-auteur :
Qin, Pengmin
Di, Haibo
Liu, Yijun
Yu, Senming
Gong, Qiyong
Duncan, Niall
Weng, Xuchu
Laureys, Steven ; Université de Liège - ULiège > Coma Science Group > Centre de recherches du cyclotron - Département des sciences cliniques
Northoff, Georg
Langue du document :
Anglais
Titre :
Anterior cingulate activity and the self in disorders of consciousness.
Date de publication/diffusion :
2010
Titre du périodique :
Human Brain Mapping
ISSN :
1065-9471
eISSN :
1097-0193
Maison d'édition :
Wiley Liss, Inc., New York, Etats-Unis - New York
Volume/Tome :
31
Fascicule/Saison :
12
Pagination :
1993-2002
Peer reviewed :
Peer reviewed vérifié par ORBi
Organisme subsidiant :
F.R.S.-FNRS - Fonds de la Recherche Scientifique [BE]
Andrews K, Murphy L, Munday R, Littlewood C (1996): Misdiagnosis of the vegetative state: Retrospective study in a rehabilitation unit. BMJ 313: 13-16.
Coleman MR, Rodd JM, Davis MH, Johnsrude IS, Menon DK, Pickard JD, Owen AM (2007): Do vegetative patients retain aspects of language comprehension? Evidence from fMRI. Brain 130 (Part 10): 2494-2507.
Cox RW (1996): AFNI: Software for analysis and visualization of functional magnetic resonance neuroimages. Comput Biomed Res 29: 162-173.
D'Argembeau A, Collette F, Van der Linden M, Laureys S, Del Fiore G, Degueldre C, Luxen A, Salmon E (2005): Self-referential reflective activity and its relationship with rest: A PET study. Neuroimage 25: 616-624.
de Jong BM, Willemsen AT, Paans AM (1997): Regional cerebral blood flow changes related to affective speech presentation in persistent vegetative state. Clin Neurol Neurosurg 99: 213-216.
Devinsky O, Morrell MJ, Vogt BA (1995): Contributions of anterior cingulate cortex to behavior. Brain 118: 279-306.
Di HB, Yu SM, Weng XC, Laureys S, Yu D, Li JQ, Qin PM, Zhu YH, Zhang SZ, Chen YZ (2007): Cerebral response to patient's own name in the vegetative and minimally conscious states. Neurology 68: 895-899.
Feinstein JS, Stein MB, Castillo GN, Paulus MP (2004): From sensory processes to conscious perception. Conscious Cogn 13: 323-335.
Giacino JT, Kalmar K, Whyte J (2004): The JFK coma recovery scale-revised: Measurement characteristics and diagnostic utility. Arch Phys Med Rehabil 85: 2020-2029.
Gillihan SJ, Farah MJ (2005): Is self special? A critical review of evidence from experimental psychology and cognitive neuroscience. Psychol Bull 131: 76-97.
Holeckova I, Fischer C, Giard MH, Delpuech C, Morlet D (2006): Brain responses to a subject's own name uttered by a familiar voice. Brain Res 1082: 142-152.
Jackson PL, Brunet E, Meltzoff AN, Decety J (2006): Empathy examined through the neural mechanisms involved in imagining how I feel versus how you feel pain. Neuropsychologia 44: 752-761.
Jardri R, Pins D, Bubrovszky M, Despretz P, Pruvo JP, Steinling M, Thomas P (2007): Self awareness and speech processing: An fMRI study. Neuroimage 35: 1645-1653.
Johnson SC, Baxter LC, Wilder LS, Pipe JG, Heiserman JE, Prigatano GP (2002): Neural correlates of self-reflection. Brain 125: 1808-1814.
Kampe KK, Frith CD, Frith U (2003): "Hey John": Signals conveying communicative intention toward the self activate brain regions associated with "mentalizing, "regardless of modality. J Neurosci 23: 5258-5263.
Kassubek J, Juengling FD, Els T, Spreer J, Herpers M, Krause T, Moser E, Lucking CH (2003): Activation of a residual cortical network during painful stimulation in long-term postanoxic vegetative state: A 15O-H2O PET study. J Neurol Sci 212: 85-91.
Keenan JP, Wheeler MA, Gallup GG, Pascual-Leone A (2000): Self-recognition and the right prefrontal cortex. Trends Cogn Sci 4: 338-344.
Kotchoubey B, Lang S, Herb E, Maurer P, Birbaumer N (2004): Reliability of brain responses to the own name in healthy subjects and patients with brain damage. In: Moore NC, Arikan MK, editors. Brainwaves and Mind: Recent Advances. New York: Kjellberg. pp 75-80.
Kriegeskorte N, Simmons WK, Bellgowan PS, Baker CI (2009): Circular analysis in systems neuroscience: The dangers of double dipping. Nat Neurosci 12: 535-540.
Laureys S, Perrin F, Faymonville ME, Schnakers C, Boly M, Bartsch V, Majerus S, Moonen G, Maquet P (2004): Cerebral processing in the minimally conscious state. Neurology 63: 916-918.
Laureys S, Perrin F, Bredart S (2007): Self-consciousness in non-communicative patients. Conscious Cogn 16: 722-741.
Luo Q, Mitchell D, Cheng X, Mondillo K, McCaffrey D, Holroyd T, Carver F, Coppola R, Blair J (2009): Visual awareness, emotion, and gamma band synchronization. Cereb Cortex 19: 1896-1904.
Mazzini L, Zaccala M, Gareri F, Giordano A, Angelino E (2001): Long-latency auditory-evoked potentials in severe traumatic brain injury. Arch Phys Med Rehabil 82: 57-65.
Mitchell JP, Banaji MR, Macrae CN (2005): The link between social cognition and self-referential thought in the medial prefrontal cortex. J Cogn Neurosci 17: 1306-1315.
Moran JM, Heatherton TF, Kelley WM (2009): Modulation of cortical midline structures by implicit and explicit self-relevance evaluation. Soc Neurosci 4: 197-211.
Northoff G, Bermpohl F (2004): Cortical midline structures and the self. Trends Cogn Sci 8: 102-107.
Northoff G, Heinzel A, de Greck M, Bermpohl F, Dobrowolny H, Panksepp J (2006): Self-referential processing in our brain-A meta-analysis of imaging studies on the self. Neuroimage 31: 440-457.
Ochsner KN, Beer JS, Robertson ER, Cooper JC, Gabrieli JD, Kihsltrom JF, D'Esposito M (2005): The neural correlates of direct and reflected self-knowledge. Neuroimage 28: 797-814.
Owen AM, Coleman MR (2008): Functional neuroimaging of the vegetative state. Nat Rev Neurosci 9: 235-243.
Owen AM, Menon DK, Johnsrude IS, Bor D, Scott SK, Manly T, Williams EJ, Mummery C, Pickard JD (2002): Detecting residual cognitive function in persistent vegetative state. Neurocase 8: 394-403.
Owen AM, Coleman MR, Boly M, Davis MH, Laureys S, Pickard JD (2006): Detecting awareness in the vegetative state. Science 313: 1402.
Paus T (2001): Primate anterior cingulate cortex: Where motor control, drive and cognition interface. Nat Rev Neurosci 2: 417-424.
Perrin F, Garcia-Larrea L, Mauguiere F, Bastuji H (1999): A differential brain response to the subject's own name persists during sleep. Clin Neurophysiol 110: 2153-2164.
Perrin F, Maquet P, Peigneux P, Ruby P, Degueldre C, Balteau E, Del Fiore G, Moonen G, Luxen A, Laureys S (2005): Neural mechanisms involved in the detection of our first name: A combined ERPs and PET study. Neuropsychologia 43: 12-19.
Perrin F, Schnakers C, Schabus M, Degueldre C, Goldman S, Bredart S, Faymonville ME, Lamy M, Moonen G, Luxen A, Maquet P, Laureys S (2006): Brain response to one's own name in vegetative state, minimally conscious state, and locked-in syndrome. Arch Neurol 63: 562-569.
Poldrack RA, Mumford JA (2009): Independence in ROI analysis: Where is the voodoo? Soc Cogn Affect Neurosci 4: 208-213.
Pratt H, Berlad I, Lavie P (1999): 'Oddball' event-related potentials and information processing during REM and non-REM sleep. Clin Neurophysiol 110: 53-61.
Schmitz TW, Kawahara-Baccus TN, Johnson SC (2004): Metacognitive evaluation, self-relevance, and the right prefrontal cortex. Neuroimage 22: 941-947.
Schnakers C, Perrin F, Schabus M, Majerus S, Ledoux D, Damas P, Boly M, Vanhaudenhuyse A, Bruno MA, Moonen G, Laureys S (2008): Voluntary brain processing in disorders of consciousness. Neurology 71: 1614-1620.
Seger CA, Stone M, Keenan JP (2004): Cortical activations during judgments about the self and an other person. Neuropsychologia 42: 1168-1177.
Signorino M, D'Acunto S, Angeleri F, Pietropaoli P (1995): Eliciting P300 in comatose patients. Lancet 345: 255-256.
Staffen W, Kronbichler M, Aichhorn M, Mair A, Ladurner G (2006): Selective brain activity in response to one's own name in the persistent vegetative state. J Neurol Neurosurg Psychiatry 77: 1383-1384.
Teasdale G, Jennett B (1974): Assessment of coma and impaired consciousness. A practical scale. Lancet 2: 81-84.
Vogeley K, May M, Ritzl A, Falkai P, Zilles K, Fink GR (2004): Neural correlates of first-person perspective as one constituent of human self-consciousness. J Cogn Neurosci 16: 817-827.
von Kriegstein K, Kleinschmidt A, Sterzer P, Giraud AL (2005): Interaction of face and voice areas during speaker recognition. J Cogn Neurosci 17: 367-376.