Świadomość w kontekstach klinicznych. Zaburzenia, diagnostyka, problemy
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Słowa kluczowe

minimalny stan świadomości
stan wegetatywny
śpiączka
świadomość
zaburzenia świadomości
zespół niereaktywnego czuwania

Jak cytować

Wyrwa, M. (2016). Świadomość w kontekstach klinicznych. Zaburzenia, diagnostyka, problemy. Studia Z Kognitywistyki I Filozofii Umysłu, 9(1), 48–60. https://doi.org/10.14746/skfu.2015.9.1.04

Abstrakt

Celem artykułu jest dyskusja wybranych problemów związanych z diagno- styką globalnych zaburzeń świadomości. Pokazuje się, że jednym z zasadniczych źródeł trudności diagnostycznych, z którymi mierzą się lekarze monitorujący stan pacjentów jest złożoność takich globalnych zaburzeń. Ocena tych stanów u osób w śpiączce, stanie wegetatywnym czy minimalnych stanach świadomości ma również charakter globalny i składają się na nią charakterystyki kompetencji wykonawczych i poznawczych, takich jak uwaga, pamięć, integracja multisensoryczna, wypełnianie poleceń, czy język. Oprócz problemów narzędzi diagnostycznych, pojawia się nowa perspektywa myślenia o świa- domości. Nie w kategoriach rozważań pojęciowych oderwanych od realnych przypadków, w tym od zaburzeń świadomości, a w postaci usytuowania rozważań nad świadomością w intersubiektywnej wiedzy o jej przejawach i zaburzeniach.
https://doi.org/10.14746/skfu.2015.9.1.04
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Bibliografia

Block, N. (1995). On the Confusion About a Function of Consciousness. Behavioral and Brain Sciences, 18, 227–247.

Bodart, O., Laureys, S., Gosseries, O. (2013). Coma and disorders of consciousness: scien- tific advances and practical considerations for clinicians. Seminars in Neurology , 33(2), 83–90. doi:10.1055/s-0033-1348965

Bonhomme, V., Boveroux, P., Brichant, J. F., Laureys, S., Boly, M. (2012). Neural cor- relates of consciousness during general anesthesia using functional magnetic resonance imaging (fMRI). Archives Italiennes de Biologie, 150(2-3), 155–163.

Brown, E. N., Lydic, R., Schiff, N. D. (2010). General anesthesia, sleep, and coma. New England Journal of Medicine, 363(27), 2638–2650.

Cavinato, M., Genna, C., Manganotti, P., Formaggio, E., Storti, S. F., Campostrini, S., . . . Piccione, F. (2014). Coherence and Consciousness: Study of Fronto-Parietal Gamma Synchrony in Patients with Disorders of Consciousness. Brain Topography , 1–10.

Chalmers, D. (2007). The Hard Problem of Consciousness. Australasian Journal of Phi- losophy , 89(2), 225–235. doi:10.1080/00048401003745985 Chennu, S., Finoia, P., Kamau, E. (2014). Spectral Signatures of Reorganised Brain Ne- tworks in Disorders of Consciousness. PLoS Computational Biology , 10(10).

Cologan, V., Drouot, X., Parapatics, S., Delorme, A., Gruber, G., Moonen, G., Laureys, S. (2013). Sleep in the unresponsive wakefulness syndrome and minimally conscious state. Journal of Neurotrauma, 30(5), 339–46. doi:10.1089/neu.2012.2654

Cruse, D., Chennu, S., Chatelle, C., Bekinschtein, T. A., Fern´andez-Espejo, D., Pickard, J. D., Owen, A. M. (2012). Bedside detection of awareness in the vegetative state: a cohort study. The Lancet , 378(9809), 2088–2094.

Cruse, D., Chennu, S., Chatelle, C., Fern´andez-Espejo, D., Bekinschtein, T. A., Pickard, J. D., . . . Owen, A. M. (2012). Relationship between etiology and covert cognition in the minimally conscious state. Neurology , 78, 816–822.

Damasio, A. (2011). Jak umysł zyskał jaźń. Poznań: Rebis. Dennett, D. (1997). Natura umysłów . Warszawa: CIS. Fern´andez-Espejo, D., Owen, A. M. (2013). Detecting awareness after severe brain injury. Nature Reviews Neuroscience, 14(11), 801–809.

Gabriel, D., Julie, H., Alexandre, C., Lyudmila, G., Juan-pablo, O., Elodie, C., . . . Lionel, P. (2015). Substitute or complement? Defining the relative place of EEG and fMRI in the detection of voluntary brain reactions. NEUROSCIENCE . doi:http://dx.doi.org/10.1016/j.neuroscience. 2015.01.053

Giacino, J. T. (1991). Monitoring rate of recovery to predict outcome in minimally re- sponsive patients. Archives of Physical Medicine and Rehabilitation, 72(11), 897–901.

Giacino, J. T., Ashwal, S., Childs, N., Cranford, R., Jennet, B., Katz, D. I. (2002). The minimally conscious state: definition and diagnostic criteria. Neurology , 58, 349–355.

Giacino, J. T., Kalmar, K., Whyte, J. (2004). The JFK Coma Recovery Scale-Revised: measurement characteristics and diagnostic utility. Archives of Physical Medicine and Rehabilitation, 85(12), 2020–2029.

Giacino, J. T., Schiff, N. D. (2009a). The minimally conscious state: Clinical features, pathophysiology and therapeutic implications. W: S. Laureys, Tononi, G. (red.) The Neurology of Consciousness. Cognitive Neuroscience and Neuropathology , 173–190.

Giacino, J. T., Whyte, J. (2005). The vegetative and minimally conscious states: current knowledge and remaining questions. The Journal of Head Trauma Rehabilitation, 20(1), 30–50.

Giacino, J. T., Fins, J. F., Laureys, S., Schiff, N. D. (2014). Disorders of consciousness after acquired brain injury: the state of the science. Nature Reviews Neurology , 10, 99-114.

Gill-Thwaites, H. (1997). The Sensory Modality Assessment Rehabilitation Technique-a tool for assessment and treatment of patients with severe brain injury in a vegetative state. Brain Injury , 11(10), 723–734.

Goldfine, A. M., Bardin, J. C., Noirhomme, Q., Fins, J. J., Schiff, N. D., Victor, J. D. (2013). Reanalysis of „Bedside detection of awareness in the vegetative state: a cohort study”. The Lancet , 381, 289–291.

Holler, Y., Bergmann, J., Thomschewski, A., Kronbichler, M., Holler, P., Crone, J. S., . . . Trinka, E. (2013). Comparison of EEG-features and classification methods for motor imagery in patients with disorders of consciousness. PLoS One, 8.

Jennett, B. (2002). The Vegetative State. Journal of Neurology, Neurosurgery & Psychia- try , 73(4), 355–357.

Jennett, B. (2005). Thirty years of the vegetative state: clinical, ethical and legal problems. Progress in Brain Research, 150, 537–543.

Laureys, S., Boly, M. (2007). What is it like to be vegetative or minimally conscious? Current Opinion in Neurobiology , 20(6), 609–613.

Laureys, S., Celesia, G. G., Cohadon, F., Lavrijsen, J., Leon-Carrion, J., Sannita, W. G. (2010). Unresponsive wakefulness syndrome: a new name for the vegetative state or apallic syndrome. BMC Med , 8(1), 68.

Laureys, S., Faymonville, M., Peigneux, P. (2002). Cortical processing of noxious soma- tosensory stimuli in the persistent vegetative state. Neuroimage, 17(2), 732–774.

Laureys, S., Owen, A. M., Schiff, N. D. (2004). Brain function in coma, vegetative state, and related disorders. The Lancet Neurology , 3(9), 537–546.

Laureys, S., Tononi, G. (2009). The Neurology of Consciousness: Cognitive Neuroscience and Neuropathology . Londyn: Elsevier Ltd.

Majerus, S., van der Linden, M., Shiel, A. (2000). Wessex Head Injury Matrix and Glasgow/Glasgow-Liege Coma Scale: A validation and comparison study. Neuropsy- chological Rehabilitation, 10(2), 167–184.

Monti, M. M., Pickard, J. D., Owen, A. M. (2013). Visual cognition in disorders of con- sciousness: from V1 to top-down attention. Human Brain Mapping , 34(6), 1245–53. doi:10.1002/hbm.21507

Monti, M. M., Vanhaudenhuyse, A., Coleman, M. R., Boly, M. M., Pickard, J. D., Tshi- banda, L. L., . . . Kingdom, U. (2010). Willful modulation of brain activity in disorders of consciousness. New England Journal of Medicine, 362(7), 579–589.

Owen, A. M., Coleman, M. R., Boly, M., Davis, M. H., Laureys, S., Pickard, J. D. (2006). Detecting awareness in the vegetative state. Science, 313(5792), 1402–1402.

Owen, A. M., Coleman, M. R., Menon, D. K., Johnsrude, I. S., Rodd, J. M., Davis, M. H., Pickard, J. D. (2005). Residual auditory function in persistent vegetative state: a combined PET and fMRI study. Neuropsychological Rehabilitation, 15(3-4), 290–306.

Parvizi, J., Damasio, A. R. (2003). Neuroanatomical correlates of brainstem coma. Brain: A Journal of Neurology , 126(7), 1524–36. doi:10.1093/brain/awg166

Posner, J., Saper, C., Schiff, N. D., Plum, F. (2007). Plum and Posner’s Diagnosis of Stu- por and Coma. Contemporary neurology series (wydanie 4). Oxford: Oxford University Press. doi:10.1159/000134234

Rosanova, M., Gosseries, O., Casarotto, S., Boly, M., Casali, A., Bruno, M.-A., Massimini, M. (2012). Recovery of cortical effective connectivity and recovery of consciousness in vegetative patients. Brain: A Journal of Neurology , 135(4), 1308–1320.

Schiff, N. D., Ribary, U., Moreno, D. R., Beattie, B., Kronberg, E., Blasberg, R., Plum, F. (2002). Residual cerebral activity and behavioural fragments can remain in the per- sistently vegetative brain. Brain: A Journal of Neurology , 125(6), 1210–1234.

Schnakers, C., Chatelle, C., Vanhaudenhuyse, A., Majerus, S., Ledoux, D., Boly, M. M., . . . Laureys, S. (2010). The Nociception Coma Scale: a new tool to assess nociception in disorders of consciousness. Pain, 148(2), 215–219. doi:10.1016/j.pain.2009.09.028

Schnakers, C., Giacino, J., Kalmar, K., Piret, S., Lopez, E., Boly, M., Laureys, S. (2006). Does the FOUR score correctly diagnose the vegetative and minimally conscious states? Annals of Neurology , 60(6), 744–745.

Schnakers, C., Vanhaudenhuyse, A., Giacino, J. T., Ventura, M., Boly, M. M., Majerus, S., . . . Laureys, S. (2009). Diagnostic accuracy of the vegetative and minimally con- scious state: clinical consensus versus standardized neurobehavioral assessment. BMC Neurology , 9(35), 35. doi:10.1186/1471-2377 9-35

Shiel, A., Horn, S., Wilson, B., Watson, M., Campbell, M., McLellan, D. (2000). The Wessex Head Injury Matrix (WHIM) main scale: a preliminary report on a scale to assess and monitor patient recovery after severe head injury. Clinical Rehabilitation, 14(4), 408–416.

Teasdale, G., Jennett, B. (1974). Assessment of coma and impaired consciousness: a prac- tical scale. The Lancet , 304(7872), 81–84.

Tommasino, C., Grana, C., Lucignani, G., Torri, G., Fazio, F. (1995). Regional cerebral metabolism of glucose in comatose and vegetative state patients. Journal of Neurosur- gical Anesthesiology , 7(2), 109–116.

Tootell, R., Hadjikhani, N., Mendola, J., Marrett, S., Dale, A. (1998). From retinotopy to recognition: fMRI in human visual cortex. Trends in Cognitive Sciences, 2(5), 174–183.

Veselis, R. A., Feshchenko, V. A., Reinsel, R. A., Dnistrian, A. M., Beattie, B., Akhurst, T. J. (2004). Thiopental and propofol affect different regions of the brain at similar pharmacologic effects. Anesthesia & Analgesia, 99(2), 399–408.

Wijdicks, E., Bamlet, W., Maramattom, B., Manno, E., McClelland, R. (2005). Validation of a new coma scale: the FOUR score. Annals of Neurology , 58(4), 585–593.

Working Party of the Royal College of Physicians. (2003). The vegetative state: guidance on diagnosis and management. Clinical Medicine, 3(3), 249–254.