Evidence map›Paper›PMID 37659409›Full record

ArticleNeuron2023

Differential cortical network engagement during states of un/consciousness in humans.

Rina Zelmann, Angelique C Paulk, Fangyun Tian, Gustavo A Balanza Villegas, Jaquelin Dezha Peralta, Britni Crocker, G Rees Cosgrove, R Mark Richardson, Ziv M Williams, Darin D Dougherty and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Neuron, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
6.7field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 38 citations in OpenAlex.

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  13. Review
  14. Illuminating consciousness.Frontiers in psychology · 2026
    Review
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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

12 authors at 2 institutions in 1 country.

Rina ZelmannDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA; Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, MA, USA. Electronic address: rzelmann@mgh.harvard.edu.
Angelique C PaulkDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA; Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, MA, USA.
Fangyun TianDepartment of Anesthesia, Massachusetts General Hospital, Boston, MA, USA.
Gustavo A Balanza VillegasDepartment of Anesthesia, Massachusetts General Hospital, Boston, MA, USA.
Jaquelin Dezha PeraltaDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.
Britni CrockerDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA; Harvard-MIT Health Sciences and Technology, Institute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.
G Rees CosgroveDepartment of Neurosurgery, Brigham and Women's Hospital, Boston, MA, USA.
R Mark RichardsonDepartment of Neurosurgery, Massachusetts General Hospital, Boston, MA, USA.
Ziv M WilliamsDepartment of Neurosurgery, Massachusetts General Hospital, Boston, MA, USA.
Darin D DoughertyDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Patrick L PurdonDepartment of Anesthesia, Massachusetts General Hospital, Boston, MA, USA.
Sydney S CashDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA; Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, MA, USA.
Massachusetts General Hospital · USBrigham and Women's Hospital · US

Funding

Data Archive for the Brain Initiative (DABI)R24MH114796 · NIMH · UNIVERSITY OF SOUTHERN CALIFORNIA · PI DUNCAN, DOMINIQUE, POURATIAN, NADER · 2018 to 2023
$6.2M
Understanding the Neural Basis of Volitional State through Continuous Recordings in HumansU01NS098968 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI CASH, SYDNEY S · 2016 to 2018
$4.7M
Neuroscience Resident Research ProgramUE5NS065743 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI SYDNEY S CASH, Ziv Williams · 2024 to 2026
$2.6M
Seizure focus delineation using spontaneous and stimulus evoked EEG featuresK24NS088568 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI CASH, SYDNEY S · 2015 to 2019
$923k
NIMH NIH HHS R24 MH114796NINDS NIH HHS K24 NS088568NINDS NIH HHS U01 NS098968NINDS NIH HHS UE5 NS065743
6 · The paper itself

Abstract

What happens in the human brain when we are unconscious? Despite substantial work, we are still unsure which brain regions are involved and how they are impacted when consciousness is disrupted. Using intracranial recordings and direct electrical stimulation, we mapped global, network, and regional involvement during wake vs. arousable unconsciousness (sleep) vs. non-arousable unconsciousness (propofol-induced general anesthesia). Information integration and complex processing we`re reduced, while variability increased in any type of unconscious state. These changes were more pronounced during anesthesia than sleep and involved different cortical engagement. During sleep, changes were mostly uniformly distributed across the brain, whereas during anesthesia, the prefrontal cortex was the most disrupted, suggesting that the lack of arousability during anesthesia results not from just altered overall physiology but from a disconnection between the prefrontal and other brain areas. These findings provide direct evidence for different neural dynamics during loss of consciousness compared with loss of arousability.

Indexed as

ConsciousnessPropofolAnesthesia, GeneralBrainElectroencephalographyHumansUnconsciousnessPropofolcomplexity reductionconnectivity reductionconsciousnesscortico-cortical evoked potentialintracranial EEGlack of arousability during anesthesiaprefrontal cortexpropofol-induced general anesthesiasleepvariability increase

Identifiers

PMID37659409
PMCPMC10843836
OpenAlexW4386369393

What OpenQuestion holds

Textmetadata
LicenceTDM
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.