Literature DB >> 24927558

Recovery of consciousness is mediated by a network of discrete metastable activity states.

Andrew E Hudson1, Diany Paola Calderon2, Donald W Pfaff3, Alex Proekt4.   

Abstract

It is not clear how, after a large perturbation, the brain explores the vast space of potential neuronal activity states to recover those compatible with consciousness. Here, we analyze recovery from pharmacologically induced coma to show that neuronal activity en route to consciousness is confined to a low-dimensional subspace. In this subspace, neuronal activity forms discrete metastable states persistent on the scale of minutes. The network of transitions that links these metastable states is structured such that some states form hubs that connect groups of otherwise disconnected states. Although many paths through the network are possible, to ultimately enter the activity state compatible with consciousness, the brain must first pass through these hubs in an orderly fashion. This organization of metastable states, along with dramatic dimensionality reduction, significantly simplifies the task of sampling the parameter space to recover the state consistent with wakefulness on a physiologically relevant timescale.

Entities:  

Keywords:  anesthesia; emergence; spectral analysis; state transitions

Mesh:

Year:  2014        PMID: 24927558      PMCID: PMC4078822          DOI: 10.1073/pnas.1408296111

Source DB:  PubMed          Journal:  Proc Natl Acad Sci U S A        ISSN: 0027-8424            Impact factor:   11.205


  24 in total

1.  Behavioural improvements with thalamic stimulation after severe traumatic brain injury.

Authors:  N D Schiff; J T Giacino; K Kalmar; J D Victor; K Baker; M Gerber; B Fritz; B Eisenberg; T Biondi; J O'Connor; E J Kobylarz; S Farris; A Machado; C McCagg; F Plum; J J Fins; A R Rezai
Journal:  Nature       Date:  2007-08-02       Impact factor: 49.962

Review 2.  Viewpoint: the core and matrix of thalamic organization.

Authors:  E G Jones
Journal:  Neuroscience       Date:  1998-07       Impact factor: 3.590

Review 3.  General anesthesia, sleep, and coma.

Authors:  Emery N Brown; Ralph Lydic; Nicholas D Schiff
Journal:  N Engl J Med       Date:  2010-12-30       Impact factor: 91.245

4.  Deep hypothermic circulatory arrest: I. Effects of cooling on electroencephalogram and evoked potentials.

Authors:  M M Stecker; A T Cheung; A Pochettino; G P Kent; T Patterson; S J Weiss; J E Bavaria
Journal:  Ann Thorac Surg       Date:  2001-01       Impact factor: 4.330

5.  The minimally conscious state and recovery potential: a follow-up study 2 to 5 years after traumatic brain injury.

Authors:  Michele H Lammi; Vanessa H Smith; Robyn L Tate; Christine M Taylor
Journal:  Arch Phys Med Rehabil       Date:  2005-04       Impact factor: 3.966

Review 6.  Consciousness and anesthesia.

Authors:  Michael T Alkire; Anthony G Hudetz; Giulio Tononi
Journal:  Science       Date:  2008-11-07       Impact factor: 47.728

7.  A conserved behavioral state barrier impedes transitions between anesthetic-induced unconsciousness and wakefulness: evidence for neural inertia.

Authors:  Eliot B Friedman; Yi Sun; Jason T Moore; Hsiao-Tung Hung; Qing Cheng Meng; Priyan Perera; William J Joiner; Steven A Thomas; Roderic G Eckenhoff; Amita Sehgal; Max B Kelz
Journal:  PLoS One       Date:  2010-07-30       Impact factor: 3.240

8.  Thalamic microinjection of nicotine reverses sevoflurane-induced loss of righting reflex in the rat.

Authors:  Michael T Alkire; Jayme R McReynolds; Emily L Hahn; Akash N Trivedi
Journal:  Anesthesiology       Date:  2007-08       Impact factor: 7.892

9.  The early-infantile epileptic encephalopathy with suppression-burst: developmental aspects.

Authors:  S Ohtahara; Y Ohtsuka; Y Yamatogi; E Oka
Journal:  Brain Dev       Date:  1987       Impact factor: 1.961

10.  Cyclic and sleep-like spontaneous alternations of brain state under urethane anaesthesia.

Authors:  Elizabeth A Clement; Alby Richard; Megan Thwaites; Jonathan Ailon; Steven Peters; Clayton T Dickson
Journal:  PLoS One       Date:  2008-04-16       Impact factor: 3.240

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  58 in total

Review 1.  Neural Correlates of Unconsciousness in Large-Scale Brain Networks.

Authors:  George A Mashour; Anthony G Hudetz
Journal:  Trends Neurosci       Date:  2018-02-03       Impact factor: 13.837

2.  Detecting event-related recurrences by symbolic analysis: applications to human language processing.

Authors:  Peter Beim Graben; Axel Hutt
Journal:  Philos Trans A Math Phys Eng Sci       Date:  2015-02-13       Impact factor: 4.226

3.  A stochastic basis for neural inertia in emergence from general anaesthesia.

Authors:  A Proekt; A E Hudson
Journal:  Br J Anaesth       Date:  2018-04-11       Impact factor: 9.166

Review 4.  Escape From Oblivion: Neural Mechanisms of Emergence From General Anesthesia.

Authors:  Max B Kelz; Paul S García; George A Mashour; Ken Solt
Journal:  Anesth Analg       Date:  2019-04       Impact factor: 5.108

5.  Dynamic Cortical Connectivity during General Anesthesia in Surgical Patients.

Authors:  Phillip E Vlisides; Duan Li; Mackenzie Zierau; Andrew P Lapointe; Ka I Ip; Amy M McKinney; George A Mashour
Journal:  Anesthesiology       Date:  2019-06       Impact factor: 7.892

6.  Novel method for functional brain imaging in awake minimally restrained rats.

Authors:  Pei-Ching Chang; Daniel Procissi; Qiyuan Bao; Maria Virginia Centeno; Alex Baria; A Vania Apkarian
Journal:  J Neurophysiol       Date:  2016-04-06       Impact factor: 2.714

7.  State-Dependent Cortical Unit Activity Reflects Dynamic Brain State Transitions in Anesthesia.

Authors:  Heonsoo Lee; Shiyong Wang; Anthony G Hudetz
Journal:  J Neurosci       Date:  2020-10-29       Impact factor: 6.167

8.  Duration of EEG suppression does not predict recovery time or degree of cognitive impairment after general anaesthesia in human volunteers.

Authors:  B P Shortal; L B Hickman; R A Mak-McCully; W Wang; C Brennan; H Ung; B Litt; V Tarnal; E Janke; P Picton; S Blain-Moraes; H R Maybrier; M R Muench; N Lin; M S Avidan; G A Mashour; A R McKinstry-Wu; M B Kelz; B J Palanca; A Proekt
Journal:  Br J Anaesth       Date:  2019-06-13       Impact factor: 9.166

9.  Repertoire of mesoscopic cortical activity is not reduced during anesthesia.

Authors:  Anthony G Hudetz; Jeannette A Vizuete; Siveshigan Pillay; George A Mashour
Journal:  Neuroscience       Date:  2016-10-14       Impact factor: 3.590

10.  Dynamics of Propofol-Induced Loss of Consciousness Across Primate Neocortex.

Authors:  Yumiko Ishizawa; Omar J Ahmed; Shaun R Patel; John T Gale; Demetrio Sierra-Mercado; Emery N Brown; Emad N Eskandar
Journal:  J Neurosci       Date:  2016-07-20       Impact factor: 6.167

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