The research focuses on establishing a system for detecting loss of consciousness, developing clinical prognostic and awakening-related brain function testing criteria.
Eligibility
Sex
ALL
Min age
14 Years
Max age
60 Years
Healthy volunteers
No
Admission criteria for patients with prolonged disorders of consciousness
Inclusion Criteria:
1. Age 14-60 years;
2. In accordance with the diagnostic criteria of unresponsive arousal syndrome or minimally conscious state by international research;
3. Brain Trauma, stroke and hypoxic-ischemic encephalopathy lead to disturbance of consciousness;
4. right-handed;
5. The patient's family members signed the informed consent form;
Exclusion Criteria:
1. The history of mental illness and a history of hearing impairment;
2. Intracranial arterial clamp, pacemaker and other metal implants;
3. During the experiment, sedatives and other drugs that affect the excitability of the cortex;
4. The presence of uncontrolled seizures or involuntary movements;
Admission criteria for patients with acute disorders of consciousness
Inclusion Criteria:
(1)Age 14-60 years; (2)Meets diagnostic criteria for coma recognized in international studies; (3)the GCS score was less than 8; (4)Brain Trauma, stroke and hypoxic-ischemic encephalopathy lead to disturbance of consciousness; (5) right-handed; (6)The patient's family members signed the informed consent form;
Exclusion Criteria:
1. The history of mental illness and a history of hearing impairment;
2. Intracranial arterial clamp, pacemaker and other metal implants;
3. During the experiment, sedatives and other drugs that affect the excitability of the cortex;
4. The presence of uncontrolled seizures or involuntary movements; Admission criteria for patients with acute disorders of consciousness;
5. No spontaneous breathing;
6. Status Epilepticus;
7. Need emergency neurosurgical treatment can not cooperate with the examination;
Primary outcome measure(s)
Change from Coma recovery scale-revised — Within 24 hours of enrollment CRS-R scale includes 6 dimensions such as audiovisual, arousal level, verbal response, motor and communication, scoring 0 to 23, the higher the score the better the neurological function, and each score reflects the presence or absence of the evaluated person and the strength of consciousness
Change from the p300 in electroencephalogram — Assessment within 24 hours before, and 1 hour after TMS treatment Assessment the p300 in event related potential(ERP)
Change from resting-state in electroencephalogram — Assessment within 24 hours before, and 1 hour after TMS treatment Assessment the spectral power and coherence by in resting-state EEG
Change from TEP in electroencephalogram — Assessment within 24 hours before, and 1 hour after TMS treatment Assessment the TMS Evoked Potential(TEP)
Change from PCI in electroencephalogram — Assessment within 24 hours before, and 1 hour after TMS treatment Assessment the perturbational complexity index(PCI) in TMS-EEG
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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