To the Editor: The National Institutes of Health
(NIH) Consensus Development Panel on Rehabilitation of Persons With Traumatic
Brain Injury,1 as forward thinking as it
was, failed to address the increasing role of advances in neuroimaging and
neuromodulation in the diagnosis and treatment of traumatic brain injury (TBI).
In the past several years, there has been a revolution in cognitive
neuroscience that may soon transform the diagnosis, treatment, and rehabilitation
of persons with TBI. For instance, diagnostic functional positron emission
tomography has demonstrated a heterogeneity of brain states that can lead
to impaired consciousness such as coma and the persistent vegetative state.2,3 Kennedy and Bakay4
have reported restoring communication for a patient with locked-in syndrome
using an implantable electrode grafted to the motor cortex. Rinaldi et al5 demonstrated that stimulation of the left medial
thalamus can modulate working memory and verbal fluency in patients with chronic
pain. This observation suggests that impaired cognitive abilities can be augmented.
Bejjani et al6 found that deep-brain stimulation,
intended to treat the motor function of a patient with Parkinson disease,
unexpectedly caused a transient depression. This serendipitous finding has
the potential for developing new treatments for affective disorders and providing
insight into their basic mechanisms.
Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more
Subscribe for full-text access to content from 1998 forward and a host of useful features
Activate your current subscription (AMA members and current subscribers)
Purchase Online Access to this article for 24 hours
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 1
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
and access these and other features:
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.