Evidence map›Paper›PMID 32820188›Full record

ArticleScientific reports2020

Brain-scale cortico-cortical functional connectivity in the delta-theta band is a robust signature of conscious states: an intracranial and scalp EEG study.

Pierre Bourdillon, Bertrand Hermann, Marc Guénot, Hélène Bastuji, Jean Isnard, Jean-Rémi King, Jacobo Sitt, Lionel Naccache

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Reflections on Consciousness in Intensive Care.Acta paediatrica (Oslo, Norway : 1992) · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Behavioral, experiential, and physiological signatures of mind blanking.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  13. Functional Connectivity Is Dominated by Aperiodic, Rather Than Oscillatory, Coupling.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Thalamocortical Dynamics during Rapid Eye Movement Sleep in the Mouse Somatosensory Pathway.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Pierre BourdillonDepartment of Neurophysiology, Hospital for Neurology and Neurosurgery, Hospices Civils de Lyon, Lyon, France. pierre.bourdillon@neurochirurgie.fr.
Bertrand HermannBrain and Spine Institue, INSERM U1127, CNRS 7225, 47 boulevard de l'Hôpital, 75013, Paris, France.
Marc GuénotDepartment of Neurophysiology, Hospital for Neurology and Neurosurgery, Hospices Civils de Lyon, Lyon, France.
Hélène BastujiNeuropain Team, Centre de Recherche en Neurosciences de Lyon, INSERM U1028, Lyon, France.
Jean IsnardFunctional Neurology Department and Sleep Center, Hospices Civils de Lyon, Lyon, France.
Jean-Rémi KingBrain and Spine Institue, INSERM U1127, CNRS 7225, 47 boulevard de l'Hôpital, 75013, Paris, France.
Jacobo SittBrain and Spine Institue, INSERM U1127, CNRS 7225, 47 boulevard de l'Hôpital, 75013, Paris, France.
Lionel NaccacheBrain and Spine Institue, INSERM U1127, CNRS 7225, 47 boulevard de l'Hôpital, 75013, Paris, France. lionel.naccache@gmail.com.
Centre National de la Recherche Scientifique · FRUniversité Claude Bernard Lyon 1 · FRHospices Civils de Lyon · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Long-range cortico-cortical functional connectivity has long been theorized to be necessary for conscious states. In the present work, we estimate long-range cortical connectivity in a series of intracranial and scalp EEG recordings experiments. In the two first experiments intracranial-EEG (iEEG) was recorded during four distinct states within the same individuals: conscious wakefulness (CW), rapid-eye-movement sleep (REM), stable periods of slow-wave sleep (SWS) and deep propofol anaesthesia (PA). We estimated functional connectivity using the following two methods: weighted Symbolic-Mutual-Information (wSMI) and phase-locked value (PLV). Our results showed that long-range functional connectivity in the delta-theta frequency band specifically discriminated CW and REM from SWS and PA. In the third experiment, we generalized this original finding on a large cohort of brain-injured patients. FC in the delta-theta band was significantly higher in patients being in a minimally conscious state (MCS) than in those being in a vegetative state (or unresponsive wakefulness syndrome). Taken together the present results suggest that FC of cortical activity in this slow frequency band is a new and robust signature of conscious states.

Indexed as

ConsciousnessAdultBrainElectroencephalographyEpilepsyFemaleHumansHypnotics and SedativesMalePropofolScalpSleep, REMWakefulnessHypnotics and SedativesPropofol

Identifiers

PMID32820188
PMCPMC7441406
OpenAlexW3061139324

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.