Recovery of consciousness after severe brain injury: the role of arousal regulation mechanisms and some speculation on the heart-brain interface.

TitleRecovery of consciousness after severe brain injury: the role of arousal regulation mechanisms and some speculation on the heart-brain interface.
Publication TypeJournal Article
Year of Publication2010
AuthorsSchiff, Nicholas D.
JournalCleve Clin J Med
Volume77 Suppl 3
PaginationS27-33
Date Published2010 Jul
ISSN1939-2869
KeywordsAdult, Arousal, Brain Injuries, Cardiovascular Physiological Phenomena, Deep Brain Stimulation, Heart, Humans, Male, Models, Neurological, Nervous System Physiological Phenomena, Prosencephalon, Recovery of Function, Thalamic Nuclei, Unconsciousness
Abstract

Recovery of consciousness after severe brain injury involves reconstitution of brain arousal mechanisms and cerebral integrative function. This review discusses several aspects of neuroanatomy and neuropathology relevant to the process of recovery. Particular emphasis is placed on the role of the anterior forebrain and circuit mechanisms linking the frontal lobe, striatum, and central thalamus. The article concludes with some observations on the heart-brain interface and future research directions in the context of recovery from severe brain injury.

DOI10.3949/ccjm.77.s3.05
Alternate JournalCleve Clin J Med
PubMed ID20622072

Weill Cornell Medicine Consortium for the Advanced Study of Brain Injury 520 East 70th Street New York, NY