Tracking auditory mismatch negativity responses during full conscious state and coma

The mismatch negativity (MMN) is considered the electrophysiological change-detection response of the brain, and therefore a valuable clinical tool for monitoring functional changes associated with return to consciousness after severe brain injury. Using an auditory multi-deviant oddball paradigm, w...

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Main Authors: Adianes Herrera-Diaz, Rober Boshra, Paniz Tavakoli, Chia-Yu A. Lin, Netri Pajankar, Elham Bagheri, Richard Kolesar, Alison Fox-Robichaud, Cindy Hamielec, James P. Reilly, John F. Connolly
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2023.1111691/full
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author Adianes Herrera-Diaz
Adianes Herrera-Diaz
Rober Boshra
Paniz Tavakoli
Chia-Yu A. Lin
Netri Pajankar
Netri Pajankar
Elham Bagheri
Elham Bagheri
Richard Kolesar
Alison Fox-Robichaud
Alison Fox-Robichaud
Cindy Hamielec
Cindy Hamielec
James P. Reilly
James P. Reilly
John F. Connolly
John F. Connolly
John F. Connolly
John F. Connolly
John F. Connolly
John F. Connolly
author_facet Adianes Herrera-Diaz
Adianes Herrera-Diaz
Rober Boshra
Paniz Tavakoli
Chia-Yu A. Lin
Netri Pajankar
Netri Pajankar
Elham Bagheri
Elham Bagheri
Richard Kolesar
Alison Fox-Robichaud
Alison Fox-Robichaud
Cindy Hamielec
Cindy Hamielec
James P. Reilly
James P. Reilly
John F. Connolly
John F. Connolly
John F. Connolly
John F. Connolly
John F. Connolly
John F. Connolly
author_sort Adianes Herrera-Diaz
collection DOAJ
description The mismatch negativity (MMN) is considered the electrophysiological change-detection response of the brain, and therefore a valuable clinical tool for monitoring functional changes associated with return to consciousness after severe brain injury. Using an auditory multi-deviant oddball paradigm, we tracked auditory MMN responses in seventeen healthy controls over a 12-h period, and in three comatose patients assessed over 24 h at two time points. We investigated whether the MMN responses show fluctuations in detectability over time in full conscious awareness, or whether such fluctuations are rather a feature of coma. Three methods of analysis were utilized to determine whether the MMN and subsequent event-related potential (ERP) components could be identified: traditional visual analysis, permutation t-test, and Bayesian analysis. The results showed that the MMN responses elicited to the duration deviant-stimuli are elicited and reliably detected over the course of several hours in healthy controls, at both group and single-subject levels. Preliminary findings in three comatose patients provide further evidence that the MMN is often present in coma, varying within a single patient from easily detectable to undetectable at different times. This highlights the fact that regular and repeated assessments are extremely important when using MMN as a neurophysiological predictor of coma emergence.
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spelling doaj.art-8c12fc53865d4c15bbcb6cc15aad2f852023-03-10T04:47:32ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-03-011410.3389/fneur.2023.11116911111691Tracking auditory mismatch negativity responses during full conscious state and comaAdianes Herrera-Diaz0Adianes Herrera-Diaz1Rober Boshra2Paniz Tavakoli3Chia-Yu A. Lin4Netri Pajankar5Netri Pajankar6Elham Bagheri7Elham Bagheri8Richard Kolesar9Alison Fox-Robichaud10Alison Fox-Robichaud11Cindy Hamielec12Cindy Hamielec13James P. Reilly14James P. Reilly15John F. Connolly16John F. Connolly17John F. Connolly18John F. Connolly19John F. Connolly20John F. Connolly21Centre for Advanced Research in Experimental and Applied Linguistics (ARiEAL), McMaster University, Hamilton, ON, CanadaNeuroscience Graduate Program, McMaster University, Hamilton, ON, CanadaPrincenton Neuroscience Institute, Princeton University, Princeton, NJ, United StatesCentre for Advanced Research in Experimental and Applied Linguistics (ARiEAL), McMaster University, Hamilton, ON, CanadaCentre for Advanced Research in Experimental and Applied Linguistics (ARiEAL), McMaster University, Hamilton, ON, CanadaCentre for Advanced Research in Experimental and Applied Linguistics (ARiEAL), McMaster University, Hamilton, ON, CanadaNeuroscience Graduate Program, McMaster University, Hamilton, ON, CanadaCentre for Advanced Research in Experimental and Applied Linguistics (ARiEAL), McMaster University, Hamilton, ON, CanadaSchool of Biomedical Engineering, McMaster University, Hamilton, ON, CanadaDepartment of Anesthesia, McMaster University, Hamilton, ON, CanadaDepartment of Medicine, McMaster University, Hamilton, ON, CanadaCritical Care Medicine, Hamilton Health Sciences, Hamilton, ON, CanadaDepartment of Medicine, McMaster University, Hamilton, ON, CanadaCritical Care Medicine, Hamilton Health Sciences, Hamilton, ON, CanadaCentre for Advanced Research in Experimental and Applied Linguistics (ARiEAL), McMaster University, Hamilton, ON, CanadaSchool of Biomedical Engineering, McMaster University, Hamilton, ON, CanadaCentre for Advanced Research in Experimental and Applied Linguistics (ARiEAL), McMaster University, Hamilton, ON, CanadaNeuroscience Graduate Program, McMaster University, Hamilton, ON, CanadaSchool of Biomedical Engineering, McMaster University, Hamilton, ON, CanadaDepartment of Anesthesia, McMaster University, Hamilton, ON, CanadaDepartment of Psychology, Neuroscience & Behaviour, McMaster University, Hamilton, ON, CanadaVoxNeuro, Inc., Toronto, ON, CanadaThe mismatch negativity (MMN) is considered the electrophysiological change-detection response of the brain, and therefore a valuable clinical tool for monitoring functional changes associated with return to consciousness after severe brain injury. Using an auditory multi-deviant oddball paradigm, we tracked auditory MMN responses in seventeen healthy controls over a 12-h period, and in three comatose patients assessed over 24 h at two time points. We investigated whether the MMN responses show fluctuations in detectability over time in full conscious awareness, or whether such fluctuations are rather a feature of coma. Three methods of analysis were utilized to determine whether the MMN and subsequent event-related potential (ERP) components could be identified: traditional visual analysis, permutation t-test, and Bayesian analysis. The results showed that the MMN responses elicited to the duration deviant-stimuli are elicited and reliably detected over the course of several hours in healthy controls, at both group and single-subject levels. Preliminary findings in three comatose patients provide further evidence that the MMN is often present in coma, varying within a single patient from easily detectable to undetectable at different times. This highlights the fact that regular and repeated assessments are extremely important when using MMN as a neurophysiological predictor of coma emergence.https://www.frontiersin.org/articles/10.3389/fneur.2023.1111691/fullmismatch negativityevent-related potentials (ERP)comadisorder of consciousnessbrain injury
spellingShingle Adianes Herrera-Diaz
Adianes Herrera-Diaz
Rober Boshra
Paniz Tavakoli
Chia-Yu A. Lin
Netri Pajankar
Netri Pajankar
Elham Bagheri
Elham Bagheri
Richard Kolesar
Alison Fox-Robichaud
Alison Fox-Robichaud
Cindy Hamielec
Cindy Hamielec
James P. Reilly
James P. Reilly
John F. Connolly
John F. Connolly
John F. Connolly
John F. Connolly
John F. Connolly
John F. Connolly
Tracking auditory mismatch negativity responses during full conscious state and coma
Frontiers in Neurology
mismatch negativity
event-related potentials (ERP)
coma
disorder of consciousness
brain injury
title Tracking auditory mismatch negativity responses during full conscious state and coma
title_full Tracking auditory mismatch negativity responses during full conscious state and coma
title_fullStr Tracking auditory mismatch negativity responses during full conscious state and coma
title_full_unstemmed Tracking auditory mismatch negativity responses during full conscious state and coma
title_short Tracking auditory mismatch negativity responses during full conscious state and coma
title_sort tracking auditory mismatch negativity responses during full conscious state and coma
topic mismatch negativity
event-related potentials (ERP)
coma
disorder of consciousness
brain injury
url https://www.frontiersin.org/articles/10.3389/fneur.2023.1111691/full
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