Metastability indexes global changes in the dynamic working point of the brain following brain stimulation.

Several studies have shown that coordination among neural ensembles is a key to understand human cognition. A well charted path is to identify coordination states associated with cognitive functions from spectral changes in the oscillations of EEG or MEG. A growing number of studies suggest that the tendency to switch between coordination states, sculpts the dynamic repertoire of the brain and can be indexed by a measure known as metastability. In this article, we characterize perturbations in the metastability of global brain network dynamics following Transcranial Magnetic Stimulation that could quantify the duration for which information processing is altered. Thus allowing researchers to understand the network effects of brain stimulation, standardize stimulation protocols and design experimental tasks. We demonstrate the effect empirically using publicly available datasets and use a digital twin (a whole brain connectome model) to understand the dynamic principles that generate such observations. We observed a significant reduction in metastability, concurrent with an increase in coherence following single-pulse TMS reflecting the existence of a window where neural coordination is altered. The reduction in complexity was validated by an additional measure based on the Lempel-Ziv complexity of microstate labeled EEG data. Interestingly, higher frequencies in the EEG signal showed faster recovery in metastability than lower frequencies. The digital twin shed light on how the phase resetting introduced by the single-pulse TMS in local cortical networks can propagate globally, giving rise to changes in metastability and coherence.