Anesthesiology
September 30, 2010
Pierre Boveroux, Audrey Vanhaudenhuyse, Marie‐Aurélie Bruno et al.
645 citations
Propofol-induced unconsciousness is linked to decreased connectivity within frontoparietal networks (the default-mode and executive-control networks) and between the thalamus and these networks, with a negative correlation between thalamic and cortical activity emerging during unconsciousness. In contrast, connectivity in low-level sensory cortices (auditory and visual networks) is preserved, including their thalamocortical connections. Loss of consciousness is associated with a breakdown of cross-modal interactions between visual and auditory networks. These findings suggest that unconsciousness results from disrupted communication between sensory and higher-order frontoparietal cortices, preventing conscious perception.
Anesthesiology
August 9, 2016
Vincent Bonhomme, Audrey Vanhaudenhuyse, Athena Demertzi et al.
206 citations
Ketamine alters consciousness by disrupting connectivity within and between specific resting-state brain networks, particularly the default mode network (DMn) and salience network (SALn), while leaving sensory and motor networks largely intact. In healthy volunteers given stepwise ketamine infusions until they lost responsiveness, DMn connectivity between the medial prefrontal cortex and other network regions decreased (from 0.20 to 0.07), and the normal anticorrelated activity between the DMn and sensory regions reversed (e.g., right sensory cortex shifted from -0.07 to 0.04). SALn connectivity was also suppressed but nonuniformly. These specific changes, including preserved sensory network connectivity, are shared with propofol-induced unconsciousness.
Proceedings of the National Academy of Sciences
March 26, 2012
Melanie Boly, Vincent Perlbarg, Guillaume Marrelec et al.
201 citations
Consciousness is reduced during nonrapid eye movement (NREM) sleep due to changes in brain function that are still poorly understood. Here, we tested the hypothesis that impaired consciousness during NREM sleep is associated with an increased modularity of brain activity. Cerebral connectivity was quantified in resting-state functional magnetic resonance imaging times series acquired in 13 healthy volunteers during wakefulness and NREM sleep. The analysis revealed a modification of the hierarchical organization of large-scale networks into smaller independent modules during NREM sleep, independently from EEG markers of the slow oscillation. Such modifications in brain connectivity, possibly driven by sleep ultraslow oscillations, could hinder the brain's ability to integrate information and account for decreased consciousness during NREM sleep.
International Anesthesiology Clinics
January 1, 2008
Pierre Boveroux, Vincent Bonhomme, Melanie Boly et al.
44 citations
A peer-reviewed article examines the intersection of medicine, consciousness, and brain function, focusing on altered states such as those arising from cardiovascular syncope, autonomic disorders, hallucinations in medical conditions, and traumatic brain injury with neurovascular disturbances. The work discusses how these conditions affect cognitive science, psychology, and legal implications, without presenting a single empirical finding or specific numerical data. The argument integrates neuroscience and philately as a metaphor for collecting insights, suggesting that altered states of consciousness can inform understanding of brain function and autonomic regulation.