Preservation of Auditory P300-Like Potentials in Cortical Deafness 英文参考文献.docVIP

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Preservation of Auditory P300-Like Potentials in Cortical Deafness 英文参考文献.doc

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Preservation of Auditory P300-Like Potentials in Cortical Deafness 英文参考文献

PreservationofAuditoryP300-LikePotentialsinCortical Deafness MariannaCavinato1*,JessicaRigon1,ChiaraVolpato1,CarloSemenza1,2,FrancescoPiccione1 1SanCamilloFoundation,InstituteofCareandResearch,Venice,Italy,2DepartmentofNeuroscience,UniversityofPadova,Padova,Italy Abstract The phenomenon of blindsight has been largely studied and refers to residual abilities of blind patients without an acknowledged visual awareness. Similarly, ‘‘deaf hearing’’ might represent a further example of dissociation between detection and perception of sounds. Here we report the rare case of a patient with a persistent and complete cortical deafness caused by damage to the bilateral temporo-parietal lobes who occasionally showed unexpected reactions to environmentalsoundsdespiteshedeniedhearing.Weappliedforthefirsttimeelectrophysiologicaltechniquestobetter understandauditoryprocessingandperceptualawarenessofthepatient.Whileauditorybrainstemresponseswerewithin normal limits, no middle- and long-latency waveforms could be identified. However, event-related potentials showed conflictingresults.WhiletheMismatchNegativitycouldnotbeevoked,robustP3-likewaveformsweresurprisinglyfoundin thelatencyrangeof600–700ms.ThegenerationofP3-likepotentials,despiteextensivedestructionoftheauditorycortex, might imply the integrity of independent circuits necessary to process auditory stimuli even in the absence of consciousnessofsound.Ourresultssupportthereversehierarchytheorythatassertsthatthehigherlevelsofthehierarchy are immediately available for perception, while low-level information requires more specific conditions. The accurate characterization in terms of anatomy and neurophysiology of the auditory lesions might facilitate understanding of the neuralsubstratesinvolvedindeaf-hearing. Citation:CavinatoM,RigonJ,VolpatoC,SemenzaC,PiccioneF(2012)PreservationofAuditoryP300-LikePotentialsinCorticalDeafness.PLoSONE7(1):e29909. doi:10.1371/journal.pone.0029909 Editor:LawrenceM.Ward,UniversityofBritishColumbia,