Level of Consciousness Is Dissociable from Electroencephalographic Measures of Cortical Connectivity, Slow Oscillations, and Complexity
Open accessAbstract
Leading neuroscientific theories posit a central role for the functional integration of cortical areas in conscious states. Considerable evidence supporting this hypothesis is based on network changes during anesthesia, but it is unclear whether these changes represent state-related (conscious vs unconscious) or drug-related (anesthetic vs no anesthetic) effects. We recently demonstrated that carbachol delivery to prefrontal cortex (PFC) restored wakefulness despite continuous administration of the general anesthetic sevoflurane. By contrast, carbachol delivery to parietal cortex, or noradrenaline delivery to either prefrontal or parietal cortices, failed to restore wakefulness. Thus, carbachol-induced reversal of sevoflurane anesthesia represents a unique state that combines wakefulness with clinically relevant anesthetic concentrations in the brain. To differentiate the state-related and drug-related associations of cortical connectivity and dynamics, we analyzed the electroencephalographic data gathered from adult male Sprague Dawley rats during the aforementioned experiments for changes in functional cortical gamma connectivity (25–155 Hz), slow oscillations (0.5–1 Hz), and complexity (<175 Hz). We show that higher gamma (85–155 Hz) connectivity is decreased ( p ≤ 0.02) during sevoflurane anesthesia, an expected finding, but was not restored during wakefulness induced by carbachol delivery to PFC. Conversely, for rats in which wakefulness was not restored, the functional gamma connectivity remained reduced, but there was a significant decrease ( p < 0.001) in the power of slow oscillations and increase ( p < 0.001) in cortical complexity, which was similar to that observed during wakefulness induced after carbachol delivery to PFC. We conclude that the level of consciousness can be dissociated from cortical connectivity, oscillations, and dynamics. SIGNIFICANCE STATEMENT Numerous theories of consciousness suggest that functional connectivity across the cortex is characteristic of the conscious state and is reduced during anesthesia. However, it is unknown whether the observed changes are state-related (conscious vs unconscious) or drug-related (drug vs no drug). We used a novel rat model in which cholinergic stimulation of PFC produced wakefulness despite continuous exposure to a general anesthetic. We demonstrate that, as expected, general anesthesia reduces connectivity. Surprisingly, the connectivity remains suppressed despite pharmacologically induced wakefulness in the presence of anesthetic, with restoration occurring only after the anesthetic is discontinued. Thus, whether an animal exhibits wakefulness or not can be dissociated from cortical connectivity, prompting a reevaluation of the role of connectivity in level of consciousness.
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Reversal of anesthesia by pharmacological cortical stimulation does not restore electroencephalographic measures of functional connectivity.
“Of note, reversal of anesthesia by pharmacological stimulation of the cortex does not restore electroencephalographic measures of functional connectivity (Pal et al., 2019), which may relate to site of stimulation or technique of neural recording.”
From Conscious Processing and the Global Neuronal Workspace Hypothesis (2020) · cites this paper as Pal et al., 2019
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“A number of major theories of consciousness are grounded in the requirement for functional, directed, or effective connectivity across the cortex in the conscious state (Alkire et al., 2008; Dehaene and Changeux, 2011; Baars et al., 2013; Tononi et al., 2016).”
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- Authors
- Pal, D., Li, D., Dean, J. G., Brito, M. A., Liu, T., Fryzel, A. M., Hudetz, A. G., & Mashour, G. A.
- Affiliations
- University of Michigan (US)
- Corresponding author
- Pal, Dinesh
- ORCID
- Venue
- The Journal of Neuroscience
- Publisher
- Society for Neuroscience
- Published
- 2019-11-27
- Volume
- 40
- Issue
- 3
- Pages
- 605-618
- ISSN
- 0270-6474 (ISSN-L)
- 1529-2401
- PMC
- PMC6961988
- OpenAlex
- W2991217205
- Cited by
- 80
- References
- 12
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 7 · 2023: 13 · 2022: 15 · 2021: 27 · 2020: 11
- FWCI
- 7.70
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Neuroscience (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (GM111293)
- National Institute of General Medical Sciences (R01GM111293)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural dynamics and brain function
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Sedative Agents
- Keywords
- level of consciousness, general anesthesia, sevoflurane, carbachol, prefrontal cortex, slow oscillations, cortical complexity, functional connectivity, wakefulness, cholinergic stimulation, norepinephrine, theory of consciousness, EEG, cortical oscillations, parietal cortex
- MeSH terms
- Sevoflurane, Anesthesia, Animals, Carbachol, Cerebral Cortex, Consciousness Disorders, Electroencephalography, Male, Norepinephrine, Parietal Lobe, Wakefulness, Rats, Sprague-Dawley, Prefrontal Cortex, Anesthetics, Inhalation, Muscarinic Agonists, Rats, Gamma Rhythm
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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