What names for covert awareness? A systematic review

Background: With the emergence of Brain Computer Interfaces (BCI), clinicians have been facing a new group of patients with severe acquired brain injury who are unable to show any behavioral sign of consciousness but respond to active neuroimaging or electrophysiological paradigms. However, even tho...

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Detalles Bibliográficos
Autores principales: Schnakers, Caroline, Bauer, Chase, Formisano, Rita, Noé, Enrique, Llorens, Roberto, Lejeune, Nicolas, Farisco, Michele, Teixeira, Liliana, Morrissey, Ann-Marie, De Marco, Sabrina, Veeramuthu, Vigneswaran, Ilina, Kseniya, Edlow, Brian L., Gosseries, Olivia, Zandalasini, Matteo, De Bellis, Francesco, Thibaut, Aurore, Estraneo, Anna
Formato: Artículo
Lenguaje:Español
Publicado: Frontiers Media S.A. 2022
Materias:
R Medicina (General)
RC0321 Neurociencia. La psiquiatría biológica. Neuropsiquiatría
Acceso en línea:http://pa.bibdigital.ucc.edu.ar/3336/1/Schnakers_Bauer_Formisano.pdf
Aporte de:
Producción Académica Universidad Católica de Córdoba (UCCor) de Universidad Católica de Córdoba
id I38-R144-3336
record_format dspace
spelling I38-R144-33362025-04-14T17:48:08Z http://pa.bibdigital.ucc.edu.ar/3336/ What names for covert awareness? A systematic review Schnakers, Caroline Bauer, Chase Formisano, Rita Noé, Enrique Llorens, Roberto Lejeune, Nicolas Farisco, Michele Teixeira, Liliana Morrissey, Ann-Marie De Marco, Sabrina Veeramuthu, Vigneswaran Ilina, Kseniya Edlow, Brian L. Gosseries, Olivia Zandalasini, Matteo De Bellis, Francesco Thibaut, Aurore Estraneo, Anna R Medicina (General) RC0321 Neurociencia. La psiquiatría biológica. Neuropsiquiatría Background: With the emergence of Brain Computer Interfaces (BCI), clinicians have been facing a new group of patients with severe acquired brain injury who are unable to show any behavioral sign of consciousness but respond to active neuroimaging or electrophysiological paradigms. However, even though well documented, there is still no consensus regarding the nomenclature for this clinical entity. Objectives: This systematic review aims to 1) identify the terms used to indicate the presence of this entity through the years, and 2) promote an informed discussion regarding the rationale for these names and the best candidates to name this fascinating disorder. Methods: The Disorders of Consciousness Special Interest Group (DoC SIG) of the International Brain Injury Association (IBIA) launched a search on Pubmed and Google scholar following PRISMA guidelines to collect peer-reviewed articles and reviews on human adults (>18 years) published in English between 2006 and 2021. Results: The search launched in January 2021 identified 4,089 potentially relevant titles. After screening, 1,126 abstracts were found relevant. Finally, 161 manuscripts were included in our analyses. Only 58% of the manuscripts used a specific name to discuss this clinical entity, among which 32% used several names interchangeably throughout the text. We found 25 different names given to this entity. The five following names were the ones the most frequently used: covert awareness, cognitive motor dissociation, functional locked-in, non-behavioral MCS (MCS*) and higher-order cortex motor dissociation. Conclusion: Since 2006, there has been no agreement regarding the taxonomy to use for unresponsive patients who are able to respond to active neuroimaging or electrophysiological paradigms. Developing a standard taxonomy is an important goal for future research studies and clinical translation. We recommend a Delphi study in order to build such a consensus. Frontiers Media S.A. 2022-08-05 info:eu-repo/semantics/article info:eu-repo/semantics/closedAccess application/pdf spa http://pa.bibdigital.ucc.edu.ar/3336/1/Schnakers_Bauer_Formisano.pdf Schnakers, Caroline, Bauer, Chase, Formisano, Rita ORCID: https://orcid.org/0000-0002-2516-0540 <https://orcid.org/0000-0002-2516-0540>, Noé, Enrique ORCID: https://orcid.org/0000-0002-2547-8727 <https://orcid.org/0000-0002-2547-8727>, Llorens, Roberto ORCID: https://orcid.org/0000-0002-8677-8707 <https://orcid.org/0000-0002-8677-8707>, Lejeune, Nicolas, Farisco, Michele, Teixeira, Liliana, Morrissey, Ann-Marie, De Marco, Sabrina, Veeramuthu, Vigneswaran, Ilina, Kseniya, Edlow, Brian L., Gosseries, Olivia, Zandalasini, Matteo, De Bellis, Francesco, Thibaut, Aurore ORCID: https://orcid.org/0000-0001-5991-1747 <https://orcid.org/0000-0001-5991-1747> and Estraneo, Anna (2022) What names for covert awareness? A systematic review. Frontiers in Human Neuroscience, 16. ISSN 1662-5161 https://www.frontiersin.org/articles/10.3389/fnhum.2022.971315/full info:eu-repo/semantics/altIdentifier/doi/https://doi.org/10.3389/fnhum.2022.971315
institution Universidad Católica de Córdoba
institution_str I-38
repository_str R-144
collection Producción Académica Universidad Católica de Córdoba (UCCor)
language Español
orig_language_str_mv spa
topic R Medicina (General)
RC0321 Neurociencia. La psiquiatría biológica. Neuropsiquiatría
spellingShingle R Medicina (General)
RC0321 Neurociencia. La psiquiatría biológica. Neuropsiquiatría
Schnakers, Caroline
Bauer, Chase
Formisano, Rita
Noé, Enrique
Llorens, Roberto
Lejeune, Nicolas
Farisco, Michele
Teixeira, Liliana
Morrissey, Ann-Marie
De Marco, Sabrina
Veeramuthu, Vigneswaran
Ilina, Kseniya
Edlow, Brian L.
Gosseries, Olivia
Zandalasini, Matteo
De Bellis, Francesco
Thibaut, Aurore
Estraneo, Anna
What names for covert awareness? A systematic review
topic_facet R Medicina (General)
RC0321 Neurociencia. La psiquiatría biológica. Neuropsiquiatría
description Background: With the emergence of Brain Computer Interfaces (BCI), clinicians have been facing a new group of patients with severe acquired brain injury who are unable to show any behavioral sign of consciousness but respond to active neuroimaging or electrophysiological paradigms. However, even though well documented, there is still no consensus regarding the nomenclature for this clinical entity. Objectives: This systematic review aims to 1) identify the terms used to indicate the presence of this entity through the years, and 2) promote an informed discussion regarding the rationale for these names and the best candidates to name this fascinating disorder. Methods: The Disorders of Consciousness Special Interest Group (DoC SIG) of the International Brain Injury Association (IBIA) launched a search on Pubmed and Google scholar following PRISMA guidelines to collect peer-reviewed articles and reviews on human adults (>18 years) published in English between 2006 and 2021. Results: The search launched in January 2021 identified 4,089 potentially relevant titles. After screening, 1,126 abstracts were found relevant. Finally, 161 manuscripts were included in our analyses. Only 58% of the manuscripts used a specific name to discuss this clinical entity, among which 32% used several names interchangeably throughout the text. We found 25 different names given to this entity. The five following names were the ones the most frequently used: covert awareness, cognitive motor dissociation, functional locked-in, non-behavioral MCS (MCS*) and higher-order cortex motor dissociation. Conclusion: Since 2006, there has been no agreement regarding the taxonomy to use for unresponsive patients who are able to respond to active neuroimaging or electrophysiological paradigms. Developing a standard taxonomy is an important goal for future research studies and clinical translation. We recommend a Delphi study in order to build such a consensus.
format Artículo
author Schnakers, Caroline
Bauer, Chase
Formisano, Rita
Noé, Enrique
Llorens, Roberto
Lejeune, Nicolas
Farisco, Michele
Teixeira, Liliana
Morrissey, Ann-Marie
De Marco, Sabrina
Veeramuthu, Vigneswaran
Ilina, Kseniya
Edlow, Brian L.
Gosseries, Olivia
Zandalasini, Matteo
De Bellis, Francesco
Thibaut, Aurore
Estraneo, Anna
author_facet Schnakers, Caroline
Bauer, Chase
Formisano, Rita
Noé, Enrique
Llorens, Roberto
Lejeune, Nicolas
Farisco, Michele
Teixeira, Liliana
Morrissey, Ann-Marie
De Marco, Sabrina
Veeramuthu, Vigneswaran
Ilina, Kseniya
Edlow, Brian L.
Gosseries, Olivia
Zandalasini, Matteo
De Bellis, Francesco
Thibaut, Aurore
Estraneo, Anna
author_sort Schnakers, Caroline
title What names for covert awareness? A systematic review
title_short What names for covert awareness? A systematic review
title_full What names for covert awareness? A systematic review
title_fullStr What names for covert awareness? A systematic review
title_full_unstemmed What names for covert awareness? A systematic review
title_sort what names for covert awareness? a systematic review
publisher Frontiers Media S.A.
publishDate 2022
url http://pa.bibdigital.ucc.edu.ar/3336/1/Schnakers_Bauer_Formisano.pdf
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