Neuroimaging of Consciousness and Sleep Spindles
Affiliation: Department of Medical Treatment 1, Hospital, National Rehabilitation Center for Persons with Disabilities, 4-1 Namiki, Tokorozawa, Saitama 359-8555 Japan.
Keywords: Consciousness, default mode network, diffusion tensor imaging, magnetic resonance imaging, magnetic resonance
It has become feasible to study several aspects of consciousness because of recent progress in the neuroscience
of perception, memory, and action, and advances in techniques of neuroimaging of human brain function. Consciousness
has 2 main components: level of arousal (wakefulness) and content of consciousness (self awareness). Level of arousal
has been investigated with electric correlates and structures in the brainstem and diencephalons that regulate the sleepwake
cycle. From a behavioral and neurobiological perspective, sleep and consciousness are intimately connected. Recent
functional brain imaging has been used in humans to investigate the neural mechanisms underlying the generation of sleep
stages. Sleep consolidates new memories, and spindle activity is associated with improvements in procedural and
declarative memory. The sleeping brain processes external information and detects the pertinence of its context. A default
mode of brain function may explain consistent decreases in brain-activity during cognitive processing as compared to a
passive resting state.
The recent advances in neuroimaging, including functional magnetic resonance imaging (fMRI), magnetic resonance
spectroscopy (MRS), and diffusion tensor imaging (DTI) are reviewed with a focus on the possibility of prognostic tools
to evaluate consciousness disturbance such as coma. Also recent advances in functional brain imaging and combined
methods of electroencephalogram and magnetoencephalogram and/or fMRI, are reviewed with a focus on the progress on
the evaluation of normal sleep physiology. Patents as neuroimaging tools in this field are introduced.
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