Cogn Neurosci Uk
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Following coma, some patients will recover wakefulness without signs of consciousness (i.e., vegetative state) or may show nonreflexive movements but with no ability for functional communication (i.e., minimally conscious state). Currently, there remains a high rate of misdiagnosis of the vegetative state. The increasing use of fMRI and EEG tools permits the clinical characterization of these patients to be improved. ⋯ Secondly, we present an alternative approach consisting of instructing subjects to imagine well-defined sensory-motor or cognitive-mental actions. This strategy reflects volitional neural activation and, hence, witnesses awareness. Finally, we present results on blood-oxgen-level-dependent "default mode network"/resting state studies that might be a promising tool in the diagnosis of these challenging patients.
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Abstract A satisfying neuroscience of consciousness must account for phenomenological properties in terms of neural properties. While pursuing this project may challenge our intuitions about what we are conscious of, evidence from behavior and introspection should not be discounted. All three lines of evidence need to be integrated in order to naturalize phenomenal experience.