Neural basis of alertness and cognitive performance impairments during sleepiness II. Effects of 48 and 72 h of sleep deprivation on waking human regional brain activity
Abstract
Sleep deprivation impairs alertness and cognitive performance, and these deficits suggest decreases in brain activity and function, particularly in the prefrontal cortex, a region subserving alertness, attention, and higher-order cognitive processes and in the thalamus, a subcortical structure involved in alertness and attention. To substantiate this premise, we characterized the effects of 24, 48, and 72 h of progressive sleep deprivation on brain activity by assessing regional cerebral metabolic rate for glucose (CMRglu) during complex cognitive task performance in 17 young, normal, healthy male volunteers using positron emission tomography (PET) and l8Fluoro-2-deoxyglucose (18FDG). The results of prolonged sleep deprivation, 48 and 72 h, are reported here. Compared to rested baseline (RB), global CMRglu decreased by 6% at 48 and 72 h sleep deprivation (SD) and approximated the 8% decrease seen at 24 h SD. Absolute and relative regional CMRglu decreased at 48 and 72 h SD primarily in the prefrontal and parietal cortices and in the thalamus, the same areas that showed decreases at 24 h SD. Compared to 24 h SD, relative regional CMRglu decreased further in the prefrontal cortex and dorsal thalamus at 48 and 72 h, and at 72 h SD in a limited area of medial visual cortex. Relative regional CMRglu increased in lateral superior occipital cortices, lingual and fusiform gyri, anterior cerebellum, and in primary and supplementary motor cortices at 48 and 72 h SD, indicating a rebound CMRglu activity response from 24 h SD. Polysomnographic monitoring confirmed that subjects were awake. Behavioral outcomes showed continuing decreases in alertness, cognitive performance, and saccadic velocity (a measure of oculomotor response) with prolonged sleep deprivation. Progressive decreases in relative CMRglu values in prefrontal, thalamic, and primary visual areas were correlated positively with the impairments in cognitive performance and saccadic velocity across the 72 h sleep deprivation period. Relative thalamic activity was also correlated with the alterations in alertness. The prefrontal and thalamic regions were positively correlated, suggesting that sleep deprivation impacted these areas together as a functional network.We propose that the decreases in CMRglu induced in the prefrontal-thalamic network by prolonged sleep deprivation underlie the decline in alertness and cognitive performance and signify the brain’s involuntary progression toward sleep onset, while the increases in visual and motor areas express the brain’s exertion of voluntary control to remain awake and perform. This exertion of voluntary control is manifest in increased subject effort and physical movement, and the recruitment of additional brain regions may reflect an attempt to sustain alertness and cognitive performance despite a continuing decline in prefrontal-thalamic activity. Our findings provide support for the notion of a specific sensitivity of the prefrontal cortex to, and a pivotal role of the thalamus in, sleepiness.
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PET studies of sleep deprivation have consistently reported significant reductions in metabolic rates in the thalamic, parietal, and prefrontal regions after sleep loss, which correlated with declines of cognitive performance and alertness.
“PET studies of sleep deprivation have consistently reported significant reductions in metabolic rates in the thalamic, parietal, and prefrontal regions after sleep loss, which correlated with declines of cognitive performance and alertness.186–189”
From Circadian rhythms, sleep deprivation, and human performance (2013) · cites this paper as [189]
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- Authors
- Thomas, M. L., Sing, H. C., Belenky, G., Holcomb, H. H., Mayberg, H. S., Dannals, R. F., Wagner Jr., H. N., Thorne, D. R., Popp, K. A., Rowland, L. M., Welsh, A. B., Balwinski, S. M., & Redmond, D. P.
- Affiliations
- Walter Reed Army Institute of Research (US)
- University of Maryland, Baltimore (US)
- University of Toronto (CA)
- Johns Hopkins University (US)
- ORCID
- Venue
- Thalamus and Related Systems
- Publisher
- Cambridge University Press (CUP)
- Published
- 2003-08
- Volume
- 2
- Issue
- 03
- Pages
- 199
- ISSN
- 1472-9288 (ISSN-L)
- 1744-8107
- OpenAlex
- W2125494882
- Cited by
- 156
- References
- 0
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 7 · 2023: 6 · 2022: 6 · 2021: 5 · 2020: 9 · 2019: 9 · 2018: 10 · 2017: 5 · 2016: 7 · 2015: 6 · 2014: 2 · 2013: 12 · 2012: 8
- FWCI
- 4.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Thalamus & Related Systems (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Mind wandering and attention
- Keywords
- sleep deprivation, alertness, cognitive performance, regional cerebral glucose metabolism, prefrontal cortex, thalamus, dorsal thalamus, parietal cortex, saccadic velocity, oculomotor responses, sleepiness, complex cognitive tasks, 18F-FDG PET, polysomnography, attention deficits
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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