Saturday, August 13, 2022
SCIENMAG: Latest Science and Health News
No Result
View All Result
  • Login
  • HOME PAGE
  • BIOLOGY
  • CHEMISTRY AND PHYSICS
  • MEDICINE
    • Cancer
    • Infectious Emerging Diseases
  • SPACE
  • TECHNOLOGY
  • CONTACT US
  • HOME PAGE
  • BIOLOGY
  • CHEMISTRY AND PHYSICS
  • MEDICINE
    • Cancer
    • Infectious Emerging Diseases
  • SPACE
  • TECHNOLOGY
  • CONTACT US
No Result
View All Result
Scienmag - Latest science news from science magazine
No Result
View All Result
Home SCIENCE NEWS Medicine & Health

Weizmann Institute scientists develop ‘sniff test’ that predicts recovery of consciousness in brain

May 21, 2020
in Medicine & Health
0
Share on FacebookShare on Twitter

If an unconscious person responds to smell through a slight change in their nasal airflow pattern – they are likely to regain consciousness. This is the conclusion from a new study conducted by Weizmann Institute scientists and colleagues at the Loewenstein Rehabilitation Hospital, Israel. According to the findings, published in the journal Nature, 100% of the unconscious brain-injured patients who responded to a “sniff test” developed by the researchers regained consciousness during the four-year study period. The scientists think that this simple, inexpensive test can aid doctors in accurately diagnosing and determining treatment plans according to the patients’ degree of brain injury. The scientists conclude that this finding once again highlights the primal role of the sense of smell in human brain organization. The olfactory system is the most ancient part of the brain, and its integrity provides an accurate measure of overall brain integrity.

Following severe brain injury, it is often difficult to determine whether the person is conscious or unconscious, and current diagnostic tests can lead to an incorrect diagnosis in up to 40% of cases. “Misdiagnosis can be critical as it can influence the decision of whether to disconnect patients from life support machines,” says Dr. Anat Arzi, who led the research. “In regard to treatment, if it is judged that a patient is unconscious and doesn’t feel anything, physicians may not prescribe them painkillers that they might need.” Arzi commenced this research during her doctoral studies in the group of Prof. Noam Sobel of the Weizmann Institute of Science’s Neurobiology Department and continued it as part of her postdoctoral research at the University of Cambridge’s Department of Psychology.

The “consciousness test” developed by the researchers – in collaboration with Dr. Yaron Sacher, Head of the Department of Traumatic Brain Injury Rehabilitation at Loewenstein Rehabilitation Hospital – is based on the principle that our nasal airflow changes in response to odor; for example, an unpleasant odor will lead to shorter and shallower sniffs. In healthy humans, the sniff-response can occur unconsciously in both wakefulness and sleep.

The study included 43 brain-injured patients in the Loewenstein Rehabilitation Hospital. The researchers briefly placed jars containing various odors under the patients’ noses, including a pleasant scent of shampoo, an unpleasant smell of rotten fish, or no odor at all. At the same time, the scientists precisely measured the volume of air inhaled through the nose in response to the odors. Each jar was presented to the patient ten times in random order during the testing session, and each patient participated in several such sessions. “Astonishingly, all patients who were classified as being in a ‘vegetative state’ yet responded to the sniff test, later regained consciousness, even if only minimal. In some cases, the result of the sniff test was the first sign that these patients were about to recover consciousness – and this reaction was observed days, weeks and even months prior to any other signs,” says Arzi. Moreover, the sniff response not only predicted who would regain consciousness, it also predicted with about 92% accuracy who would survive for at least three years.

“The fact that the sniff test is simple and potentially inexpensive makes it advantageous,” explains Arzi. “It can be performed at the patients’ bedside without the need to move them – and without complicated machinery.”

A mindful tennis game

After a severe head injury, patients may fall into a comatose state – their eyes are closed and they do not have sleep-wake cycles. A coma usually lasts for about two weeks, after which there may either be a rapid improvement and return to consciousness, deterioration leading to death, or it could lead to a condition defined as “disorder of consciousness.” When spontaneous eye opening occurs but there is no evidence that the patients are aware of themselves or their surroundings, they are then diagnosed as being in a “vegetative state.” Alternatively, if a patient displays consistent signs of awareness, even if they are minimal and unstable, the patient will be classified as being in a “minimally conscious state.” The gold standard diagnostic tool for assessing the level of consciousness is the Coma Recovery Scale (Revised), which examines responses to various stimuli: eye movements while tracking an object; turning the head toward a sound; response to pain, among others. Since the rate of diagnosis errors may reach up to 40%, it is recommended to repeat the test at least five times.

However, misdiagnosis may also occur when the test is conducted repeatedly. “In a well-known study, a patient diagnosed as being in a ‘vegetative state’ following a car accident was scanned in an MRI machine. While in the scanner, the researchers asked the patient to imagine that she was playing tennis and observed that her brain activity was similar to the brain activity of healthy people when they also imaged playing a tennis game. Suddenly, they realized: ‘hold on a minute, she’s there. She hears us and is responding to our requests. She simply has no way of communicating’,” says Arzi. “There are also known cases of people who were diagnosed in a ‘vegetative state,’ but when they regained consciousness, they were able to recount in detail what was occurring while supposedly vegetative. Diagnosing the level of consciousness of a patient who has suffered a severe head injury is a major clinical challenge. The sniff test we have developed may provide a simple tool to tackle this challenge.”

###

Prof. Noam Sobel is head of the Azrieli National Institute for Human Brain Imaging and Research; his research is supported by the Norman and Helen Asher Center for Human Brain Imaging; the Nadia Jaglom Laboratory for the Research in the Neurobiology of Olfaction; the Adelis Foundation; and the Rob and Cheryl McEwen Fund for Brain Research. Prof. Sobel is the incumbent of the Sara and Michael Sela Professorial Chair of Neurobiology.

The Weizmann Institute of Science in Rehovot, Israel, is one of the world’s top-ranking multidisciplinary research institutions. Noted for its wide-ranging exploration of the natural and exact sciences, the Institute is home to scientists, students, technicians and supporting staff. Institute research efforts include the search for new ways of fighting disease and hunger, examining leading questions in mathematics and computer science, probing the physics of matter and the universe, creating novel materials and developing new strategies for protecting the environment.

Media Contact
Gizel Maimon
[email protected]
https://wis-wander.weizmann.ac.il/life-sciences/weizmann-institute-scientists-develop-sniff-test-predicts-recovery-consciousness-brain

Tags: BiologyDiagnosticsMedicine/HealthNeurobiologyOlfactory/TasteTrauma/Injury
Share25Tweet16Share4ShareSendShare
  • Amanda Poholek, Ph.D.

    Reinvigorating ‘lost cause’ exhausted T cells could improve cancer immunotherapy

    117 shares
    Share 47 Tweet 29
  • A new method boosts wind farms’ energy output, without new equipment

    74 shares
    Share 30 Tweet 19
  • New research on the emergence of the first complex cells challenges orthodoxy

    68 shares
    Share 27 Tweet 17
  • New insights on how some individuals with obesity can lose weight – and keep it off

    66 shares
    Share 26 Tweet 17
  • Researchers fabricate cobalt copper catalysts for methane on metal-organic framework Contributes to goal of methane production from carbon dioxide emissions

    65 shares
    Share 26 Tweet 16
  • Testosterone promotes ‘cuddling,’ not just aggression, animal study finds

    65 shares
    Share 26 Tweet 16
ADVERTISEMENT

About us

We bring you the latest science news from best research centers and universities around the world. Check our website.

Latest NEWS

Reinvigorating ‘lost cause’ exhausted T cells could improve cancer immunotherapy

Experts optimistic about converting coal plants to production of clean geothermal energy

A role for cell ‘antennae’ in managing dopamine signals in the brain

Subscribe to Blog via Email

Enter your email address to subscribe to this blog and receive notifications of new posts by email.

Join 193 other subscribers

© 2022 Scienmag- Science Magazine: Latest Science News.

No Result
View All Result
  • HOME PAGE
  • BIOLOGY
  • CHEMISTRY AND PHYSICS
  • MEDICINE
    • Cancer
    • Infectious Emerging Diseases
  • SPACE
  • TECHNOLOGY
  • CONTACT US

© 2022 Scienmag- Science Magazine: Latest Science News.

Welcome Back!

Login to your account below

Forgotten Password?

Retrieve your password

Please enter your username or email address to reset your password.

Log In