Future advances.

Future advances in the auditory systems are difficult to predict, and only educated guesses are possible. It is expected that innovative technologies in the field of neuroscience will be applied to the auditory system. Optogenetics, Brainbow, and CLARITY will improve our knowledge of the working of neural auditory networks and the relationship between sound and language, providing a dynamic picture of the brain in action.

Hearing disorders in brainstem lesions.

Auditory processing can be disrupted by brainstem lesions. It is estimated that approximately 57% of brainstem lesions are associated with auditory disorders. However diseases of the brainstem usually involve many structures, producing a plethora of other neurologic deficits, often relegating "auditory symptoms in the background.

Conscious awareness in patients in vegetative states: myth or reality?

Do vegetative state (VS) and minimally conscious state (MCS) patients experience emotions and have conscious awareness of themselves and their surroundings? Can neuroimaging clarify these questions? Neuroimaging responses to stimuli are classified into four levels: level 0 indicates no response; level 1 indicates responses limited to the primary sensory cortices; level 2 indicates activation of primary sensory cortices and higher-order associative areas; level 3 indicates activation of cortical regions to either mental imagery tasks or high-level language stimuli requiring distinction of ambiguous from unambiguous words. Level 0 or level 1 was noted in 125 of 193 VS patients (65 %) and 46 of 121 MCS patients (38 %), suggesting no evidence of conscious awareness. Level 2 or level 3 was observed in 68 of 193 VS patients (35 %) and 75 of 121 MCS patients (62 %), indicating some cognitive processing.

Alcmaeon of Croton's observations on health, brain, mind, and soul.

Alcmaeon of Croton (sixth-fifth century BC), a pre-Socratic physician-philosopher, introduced the concept that mind and soul are located in the brain. Alcmaeon made observations about seeing, hearing, tasting, and smelling and distinguished perception from understanding. Alcmaeon contributed two major ideas to natural sciences: (1) the brain is the seat of human intelligence, and (2) physicians should draw conclusions from empirical observations, an idea that implicitly rejects the alternative notion that science should depend on "divine revelation.

Unresponsive wakefulness syndrome: a new name for the vegetative state or apallic syndrome.

Background: Some patients awaken from coma (that is, open the eyes) but remain unresponsive (that is, only showing reflex movements without response to command). This syndrome has been coined vegetative state. We here present a new name for this challenging neurological condition: unresponsive wakefulness syndrome (abbreviated UWS).

International Federation of Clinical Neurophysiology: recommendations for visual system testing.

This document presents recommendations and guidelines for the use of visual electrophysiological testing in the clinical assessment of visual pathway function.

Studies of human visual pathophysiology with visual evoked potentials.

Visual evoked potentials (VEPs) offer reproducible and quantitative data on the function of the visual pathways and the visual cortex. Pattern reversal VEPs to full-field stimulation are best suited to evaluate anterior visual pathways while hemi-field stimulation is most effective in the assessment of post-chiasmal function. However, visual information is processed simultaneously via multiple parallel channels and each channel constitutes a set of sequential processes.

Visual plasticity and its clinical applications.

Normal visual development requires: 1) environmental factors (i.e. sensory experience) and 2) molecular programs that are genetically determined.