Cell Reports
May 1, 2021
Zirui Huang, Vijay Tarnal, Phillip E. Vlisides et al.
119 citations
Conscious access to sensory information is likely gated at an intermediate site between primary sensory and transmodal association cortices, with the anterior insular cortex (AIC) playing a key role. Functional neuroimaging using a volitional mental imagery task in healthy volunteers, with propofol titrated to loss of behavioral responsiveness, showed that AIC dysfunction is associated with impaired transitions between default-mode and dorsal attention networks. Candidate subcortical regions such as the thalamus and basal forebrain did not show this association. In awake participants, pre-stimulus AIC activity near perceptual threshold predicted conscious access. These findings support the hypothesis that AIC regulates brain network transitions that gate conscious access.
British Journal of Anaesthesia
April 13, 2018
Phillip E. Vlisides, Tarik Bel‐bahar, Amanda Nelson et al.
117 citations
Subanaesthetic doses of ketamine produce altered states of consciousness dominated by dissociative experiences such as disembodiment and ego transcendence, along with sensory disturbances. These subjective effects occur alongside a broad decrease in low-frequency brain electrical activity, with the largest reductions in alpha power (8–12 Hz) in parietal and occipital regions. Specific decreases in alpha power were identified in the precuneus and temporal-parietal junction, brain areas involved in multisensory integration, body representation, and consciousness. The findings suggest that modulation of these temporal-parietal loci may be a candidate mechanism for ketamine's psychoactive effects.
NeuroImage
January 7, 2022
Duan Li, Phillip E. Vlisides, George A. Mashour
24 citations
Spontaneous brain activity explores a repertoire of recurring spatial patterns, and the richness of this repertoire may reflect the capacity for consciousness. Ketamine, which has both psychedelic and anesthetic properties depending on dose, was used to examine brain dynamics across a continuum of consciousness. Analyzing EEG data from source-localized cortical activity, researchers identified frequency-specific spatial coactivation patterns. Ketamine anesthesia shifted brain states toward those with low spatial variability. Subanesthetic ketamine was associated with a richer repertoire of brain states, while anesthetic ketamine initially reduced repertoire richness, which then evolved to a level comparable to normal wakefulness before recovery of consciousness. These findings describe ketamine's modulation of cortical dynamics across spatial, temporal, and spectral dimensions.
Commun Biol
December 19, 2023
Rui Dai, Zirui Huang, Tony E. Larkin et al.
7 citations
At concentrations that produce psychedelic effects, nitrous oxide reduces the functional differentiation—the distinctness of activity patterns—within frontoparietal and somatomotor cortical networks. This suggests that the gas alters brain network organization, potentially contributing to its consciousness-altering properties. The finding points to a neural mechanism underlying the non-ordinary state induced by nitrous oxide, involving reduced specialization of key brain regions.
medRxiv
August 7, 2025
Ben Deverett, Duan Li, Theresa R. Lii et al.
preprint
Ketamine produces dissociative, analgesic, and antidepressant effects, but it is unclear whether its underlying neurophysiological signatures can be separated. In this observational cohort study, 52 participants (healthy volunteers, elective surgery patients, and patients with depression) received a subanesthetic infusion of ketamine or placebo, with or without general anesthesia. When ketamine was given under general anesthesia, its characteristic low-frequency brain wave augmentation was absent, while high-frequency power modulation was preserved. This selective modulation suggests a method for investigating the distinct roles of high- and low-frequency neural activity in ketamine's behavioral effects.