I.P. Pavlov Journal of Higher Nervous ActivityI.P. Pavlov Journal of Higher Nervous ActivityЖурнал высшей нервной деятельности им. И.П. Павлова0044-46773034-5316The Russian Academy of Sciences65203010.31857/S0044467723030048TSVOZEОБЗОРЫ И ТЕОРЕТИЧЕСКИЕ СТАТЬИDETECTING PHENOMENON OF “COVERT COGNITION” IN PATIENTS WITH CHRONIC DISORDERS OF CONSCIOUSNESS: A REVIEW OF fMRI DATA WITH PARADIGMSВыявление феномена “скрытого сознания” у пациентов с хроническими нарушениями сознания: обзор данных фМРТ с парадигмамиCherkasovaA. N.ЧеркасоваА. Н.cherka.sova@mail.ruYatskoK. A.ЯцкоК. А.cherka.sova@mail.ruKovyazinaM. S.КовязинаМ. С.cherka.sova@mail.ruVarakoN. A.ВаракоН. А.cherka.sova@mail.ruKremnevaE. I.КремневаЕ. И.cherka.sova@mail.ruRyabinkinaY. V.РябинкинаЮ. В.cherka.sova@mail.ruSuponevaN. A.СупоневаН. А.cherka.sova@mail.ruPiradovM. A.ПирадовМ. А.cherka.sova@mail.ruLomonosov Moscow State University, Faculty of PsychologyМосковский государственный университет имени М.В. Ломоносова, факультет психологииResearch Center of NeurologyФГБНУ “Научный центр неврологии”Lomonosov Moscow State University, Faculty of Fundamental MedicineМосковский государственный университет имени М.В. Ломоносова, факультет фундаментальной медициныPsychological Institute of the Russian Academy of EducationФГБНУ “Психологический институт РАО”0105202373329131002022025Copyright ©; 2023, А.Н. Черкасова, К.А. Яцко, М.С. Ковязина, Н.А. Варако, Е.И. Кремнева, Ю.В. Рябинкина, Н.А. Супонева, М.А. ПирадовCopyright ©; 2023, А.Н. Черкасова, К.А. Яцко, М.С. Ковязина, Н.А. Варако, Е.И. Кремнева, Ю.В. Рябинкина, Н.А. Супонева, М.А. Пирадов2023А.Н. Черкасова, К.А. Яцко, М.С. Ковязина, Н.А. Варако, Е.И. Кремнева, Ю.В. Рябинкина, Н.А. Супонева, М.А. ПирадовА.Н. Черкасова, К.А. Яцко, М.С. Ковязина, Н.А. Варако, Е.И. Кремнева, Ю.В. Рябинкина, Н.А. Супонева, М.А. Пирадовhttps://innoscience.ru/0044-4677/article/view/652030

In recent decades, the use of instrumental methods has significantly expanded the diagnosis of signs of consciousness in patients with chronic disorders of consciousness (DOC). The phenomenon of “covert cognition” was described with their help. This review highlights studies on the detection of “covert cognition” in patients with DOC using functional magnetic resonance imaging. Most types of passive and active paradigms used for this purpose are analyzed and systematized. Special attention is paid to an integrated approach with a combination of different paradigms and research methods. The importance of detecting the phenomenon of “covert cognition” for the neurorehabilitation of patients with DOC is emphasized.

В последние десятилетия диагностика проявлений сознательной деятельности у пациентов с хроническими нарушениями сознания (ХНС) существенно расширилась за счет использования инструментальных методов. С их помощью был описан феномен “скрытого сознания”. В данном обзоре освещены исследования по выявлению “скрытого сознания” у пациентов с ХНС с помощью метода функциональной магнитно-резонансной томографии. Проанализировано и систематизировано большинство вариантов пассивных и активных парадигм, применяющихся для этой цели. Отдельное внимание уделено комплексному подходу с сочетанием различных парадигм и методов исследования. Подчеркивается значимость выявления феномена “скрытого сознания” для нейрореабилитации пациентов с ХНС.

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