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10.1212/WNL.0000000000002196 http://scihub22266oqcxt.onion/10.1212/WNL.0000000000002196 C4676759!4676759!26561296     free     free     free Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Neurology 2015 ; 85 (23): 2036-44 Nephropedia Template TP {{tp|p=26561296|t=2015. Disruption of posteromedial large-scale neural communication predicts recovery from coma |pdf=|usr=}}{{26561296}} gab.com Text Disruption of posteromedial large-scale neural communication predicts recovery from coma JO: Neurology http://www.kidney.de/pget.php?&tw=1&pmid=26561296 #FOAvip Objective:: We hypothesize that the major consciousness deficit observed in coma is due to the breakdown of long-range neuronal communication supported by precuneus and posterior cingulate cortex (PCC), and that prognosis depends on a specific connectivity pattern in these networks. Methods:: We compared 27 prospectively recruited comatose patients who had severe brain injury (Glasgow Coma Scale score <8; 14 traumatic and 13 anoxic cases) with 14 age-matched healthy participants. Standardized clinical assessment and fMRI were performed on average 4 ± 2 days after withdrawal of sedation. Analysis of resting-state fMRI connectivity involved a hypothesis-driven, region of interest?based strategy. We assessed patient outcome after 3 months using the Coma Recovery Scale?Revised (CRS-R). Results:: Patients who were comatose showed a significant disruption of functional connectivity of brain areas spontaneously synchronized with PCC, globally notwithstanding etiology. The functional connectivity strength between PCC and medial prefrontal cortex (mPFC) was significantly different between comatose patients who went on to recover and those who eventually scored an unfavorable outcome 3 months after brain injury (Kruskal-Wallis test, p < 0.001; linear regression between CRS-R and PCC-mPFC activity coupling at rest, Spearman ? = 0.93, p < 0.003). Conclusion:: In both etiology groups (traumatic and anoxic), changes in the connectivity of PCC-centered, spontaneously synchronized, large-scale networks account for the loss of external and internal self-centered awareness observed during coma. Sparing of functional connectivity between PCC and mPFC may predict patient outcome, and further studies are needed to substantiate this potential prognosis biomarker. Twit Text FOAVip Disruption of posteromedial large-scale neural communication predicts recovery from coma ????Neurology http://www.kidney.de/pget.php?&tw=1&pmid=26561296 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26561296 #FOAvip English Wikipedia <ref>{{Cite pmid|26561296}}</ref> Disruption of posteromedial large-scale neural communication predicts recovery from coma #MMPMID26561296 Silva S; de Pasquale F; Vuillaume C; Riu B; Loubinoux I; Geeraerts T; Seguin T; Bounes V; Fourcade O; Demonet JF; Péran P Neurology 2015[Dec]; 85 (23): 2036-44 PMID26561296show ga Objective:: We hypothesize that the major consciousness deficit observed in coma is due to the breakdown of long-range neuronal communication supported by precuneus and posterior cingulate cortex (PCC), and that prognosis depends on a specific connectivity pattern in these networks. Methods:: We compared 27 prospectively recruited comatose patients who had severe brain injury (Glasgow Coma Scale score <8; 14 traumatic and 13 anoxic cases) with 14 age-matched healthy participants. Standardized clinical assessment and fMRI were performed on average 4 ± 2 days after withdrawal of sedation. Analysis of resting-state fMRI connectivity involved a hypothesis-driven, region of interest?based strategy. We assessed patient outcome after 3 months using the Coma Recovery Scale?Revised (CRS-R). Results:: Patients who were comatose showed a significant disruption of functional connectivity of brain areas spontaneously synchronized with PCC, globally notwithstanding etiology. The functional connectivity strength between PCC and medial prefrontal cortex (mPFC) was significantly different between comatose patients who went on to recover and those who eventually scored an unfavorable outcome 3 months after brain injury (Kruskal-Wallis test, p < 0.001; linear regression between CRS-R and PCC-mPFC activity coupling at rest, Spearman ? = 0.93, p < 0.003). Conclusion:: In both etiology groups (traumatic and anoxic), changes in the connectivity of PCC-centered, spontaneously synchronized, large-scale networks account for the loss of external and internal self-centered awareness observed during coma. Sparing of functional connectivity between PCC and mPFC may predict patient outcome, and further studies are needed to substantiate this potential prognosis biomarker. äDisruption of posteromedial large-scale neural communication predicts (epmc).pdf DeepDyve Pubget Overpricing