Considering Consciousness Clinically - Couverture rigide

 
9781634842600: Considering Consciousness Clinically

Synopsis

Disorders of consciousness (DOC) represent one of the most complex and crucial challenges for neuroscientists. A precise and reliable assessment of the arousal and awareness of consciousness in patients with severe brain damage would allow for a comprehensible classification of DOC. Intensive care has led to an increase in the number of patients who survive after severe acute brain damage. Most comatose patients who survive begin to awaken and recover gradually within 24 weeks. Although some of these individuals gradually experience complete brain function loss which leads to brain death (BD), oftentimes this state is treated as synonymous with the death of the individual. Nonetheless, other individuals progress to "wakeful unawareness", which is defined as a vegetative state (VS). DOC terminology may be useful clinically, but does little to explain the nature of consciousness. While it is not known which portions of the brain are responsible for cognition and consciousness, what little is known points to substantial interconnections among the brainstem, subcortical structures and the neocortex. Thus, the "higher brain" may well exist only as a metaphorical concept and not in reality.

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À propos de l?auteur

Gerry Leisman, MD, PhD, BCFM is an Israeli neuroscientist educated in the United Kingdom and the United States in medicine, neuroscience, and biomedical engineering at the University of Manchester, the City University of New York, and Union University. He holds the position of Director of the National Institute for Brain and Rehabilitation Sciences-Israel in Nazareth, Israel and Professor of Rehabilitation Sciences in the Department of Mechanical Engineering at O.R.T.-Braude College of Engineering in Karmiel, Israel. He is also Professor of Restorative Neurology at the Universidad de Ciencias Medicas de la Habana, Faculdad Manuel Fajardo, Institute for Neurology and Neurosurgery in Havana Cuba. He is also Editor-in-Chief of the journal Functional Neurology, Rehabilitation and Ergonomics. He has been active since the early 1970s in the promotion of consciousness as a scientifically tractable problem, and has been particularly influential in arguing that consciousness can now be approached using the modern tools of neurobiology and understood by mechanisms of theoretical physics. He has also been influential in examining mechanisms of self-organizing systems in the brain and nervous system for cognitive function exemplified by his work in optimization, memory, kinesiology, consciousness, death, autism and dyslexia. It is in this context that he was one of the first to identify functional disconnectivities in the brain and nervous system.

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