Science Advances
February 1, 2019
Athena Demertzi, Enzo Tagliazucchi, Stanislas Dehaene et al.
545 citations
Consciousness depends on the brain's ability to sustain rich, dynamic patterns of signal coordination. Using functional magnetic resonance imaging, a complex pattern of coordinated and anticoordinated signals characterized healthy individuals and minimally conscious patients. Unresponsive patients showed low interareal phase coherence mainly mediated by structural connectivity, with fewer transitions between patterns. This complex pattern was also seen in patients with covert cognition who could perform mental imagery tasks, validating its link to consciousness. Anesthesia increased the probability of the less complex pattern to levels seen in unresponsive patients, confirming its role in unconsciousness. These results establish generalizable fingerprints of conscious and unconscious states after brain damage.
Frontiers in Systems Neuroscience
August 14, 2019
Vincent Bonhomme, Cécile Staquet, Javier Montupil et al.
109 citations
General anesthesia reversibly alters consciousness without globally shutting down the brain. Depending on the agent and dose, it can produce a complete absence of subjective experience (unconsciousness), a conscious experience without environmental perception (disconnected consciousness, like during dreaming), or oriented consciousness with environmental awareness (connected consciousness). Each state may be followed by explicit or implicit memories. Progress in brain function exploration has improved understanding of neural correlates of consciousness and their alterations during anesthesia, including changes in functional and effective brain connectivity, consciousness network topology, and spatio-temporal dynamics.
NeuroImage
February 9, 2021
Riku Ihalainen, Olivia Gosseries, Frederik van de Steen et al.
30 citations
Using dynamic causal modelling of high-density EEG recordings from 10 people during propofol anaesthesia, the study evaluated how three resting state networks—the default mode network, the salience network, and the central executive network—contribute to consciousness. Loss of consciousness reduced inter-network connectivity in the parietal cortex, especially feed-forward frontoparietal and parietal connections at the precuneus node within the default mode network. Within the salience and central executive networks, unconsciousness generated small increases in bidirectional connectivity. The most consistent predictions of consciousness came from a key set of frontoparietal connections, supporting the importance of the posterior hot zone in explaining loss of consciousness.