Mismatch negativity to the patient's own name in chronic disorders of consciousness

Neurosci Lett. 2008 Dec 19;448(1):24-8. doi: 10.1016/j.neulet.2008.10.029. Epub 2008 Oct 14.

Abstract

Previous studies implicated potential value of mismatch negativity (MMN) in predicting recovery of consciousness in patients with disorders of consciousness (DOC). We have adopted a novel MMN evoked by subject's own name (SON), a self-referential stimulus thought to be powerful in evoking residual brain activity, and examined the correlation between the MMN and recovery of consciousness in patients with chronic (>1 month) DOC. Twelve patients and 12 age-matched healthy controls were investigated. The patients were diagnosed as coma (n=4), vegetative state (VS, n=6), and minimally conscious state (MCS, n=2), mainly based on the JFK Coma Recovery Scale-Revised. The SON-evoked MMN (SON-MMN) was present in seven patients. Critically, the presence of SON-MMN was significantly correlated with recovery of consciousness. While four of the five patients (three VS and two coma) showing SON-MMN changed to MCS 3 months later, the rest of the patients (three VS and two coma) without SON-MMN failed to show any clinical improvement. Our study thus illustrates that the subject's own name is effective in evoking MMN in patients with DOC, and that SON-MMN has potential prognostic values in predicting recovery of consciousness.

MeSH terms

  • Acoustic Stimulation / methods
  • Adolescent
  • Adult
  • Auditory Perception*
  • Case-Control Studies
  • Chronic Disease
  • Consciousness Disorders / physiopathology*
  • Contingent Negative Variation / physiology*
  • Electroencephalography
  • Evoked Potentials, Auditory / physiology*
  • Female
  • Follow-Up Studies
  • Glasgow Coma Scale
  • Humans
  • Male
  • Middle Aged
  • Names*