Search

• Suppression of EEG alpha-band power in posterior cortex was implicated as a marker of attention to music stimuli in healthy participants. • Similar alpha-band suppression was detected among a small group of responsive and unresponsive hospice patients, the latter only hours before death. • Unresponsive patients might be able to listen to music. To characterize electrophysiological activity, and likely neural sources of that activity, associated with listening to music in both healthy participants and in a small group of hospice patients both when responsive and when unresponsive hours before death. Young, healthy participants (N = 22) were asked to attend to (Active condition) and to ignore (Passive condition) brief (6 s) music excerpts. A smaller group (N = 13) of hospice patients was asked to attend to the same musical excerpts (Active condition only), both when they were responsive (N = 8) and again when they became unresponsive (N = 4) only hours before death. EEG-derived event-related spectral perturbations (ERSPs) to music stimuli, and their approximate neural sources, were computed for each individual in both groups. In the healthy participants, alpha-band ERSP during the music excerpts in a group-level analysis was significantly lower in posterio-parietal brain areas in the Active condition than in the Passive condition (event-related desynchronization, ERD). Moreover, in an analysis of individual ERSP data, most (18 of 22 or 84%) healthy participants showed meaningful sustained (4 or more seconds) alpha-band suppression in one or more posterio-parietal brain areas when they were asked to attend to the music, whereas far fewer healthy participants (only 7 of 19 or 37%) generated the same response when asked to ignore the music, indicating that posterio-parietal alpha-band ERD could be a useful marker of music listening. Similarly, 75% of eight responsive hospice patients, and 100% of four unresponsive hospice patients showed sustained posterio-parietal alpha-band suppression when asked to attend to the music, indicating that they could be listening to the music covertly even when overtly unresponsive. Some (but likely not all, as other patients will vary from those we studied) unresponsive patients at the end of life might be able to listen to music, despite being unable to overtly indicate their awareness. Music stimulation may be a promising way to engage unresponsive patients. [ABSTRACT FROM AUTHOR]

This study attempts to answer the question: "Is hearing the last to go?" We present evidence of hearing among unresponsive actively dying hospice patients. Individual ERP (MMN, P3a, and P3b) responses to deviations in auditory patterns are reported for conscious young, healthy control participants, as well as for hospice patients, both when the latter were conscious, and again when they became unresponsive to their environment. Whereas the MMN (and perhaps too the P3a) is considered an automatic response to auditory irregularities, the P3b is associated with conscious detection of oddball targets. All control participants, and most responsive hospice patients, evidenced a "local" effect (either a MMN, a P3a, or both) and some a "global" effect (P3b) to deviations in tone, or deviations in auditory pattern. Importantly, most unresponsive patients showed evidence of MMN responses to tone changes, and some showed a P3a or P3b response to either tone or pattern changes. Thus, their auditory systems were responding similarly to those of young, healthy controls just hours from end of life. Hearing may indeed be one of the last senses to lose function as humans die. [ABSTRACT FROM AUTHOR]

We conducted five experiments in order to explore the generalizability of a new type of search asymmetry, which we have termed sequential search asymmetry, across sensory modalities, and to better understand its origin. In all five experiments rare oddballs occurred randomly within longer sequences of more frequent standards. Oddballs and standards all consisted of rapidly-presented runs of five pure tones (Experiments 1 and 5) or five colored annuli (Experiments 2 through 4) somewhat analogous to simultaneously-presented feature-present and feature-absent stimuli in typical visual search tasks. In easy tasks feature-present reaction times and P300 latencies were shorter than feature-absent ones, similar to findings in search tasks with simultaneously-presented stimuli. Moreover the P3a subcomponent of the P300 ERP was strongly apparent only in the feature-present condition. In more difficult tasks requiring focused attention, however, RT and P300 latency differences disappeared but the P300 amplitude difference was significant. Importantly in all five experiments d’ for feature-present targets was larger than that for feature-absent targets. These results imply that sequential search asymmetry arises from discriminability differences between feature-present and feature-absent targets. Response time and P300 latency differences can be attributed to the use of different attention strategies in search for feature-present and feature-absent targets, indexed by the presence of a dominant P3a subcomponent in the feature-present target-evoked P300s that is lacking in the P300s to the feature-absent targets. [ABSTRACT FROM AUTHOR]