Evidence map›Paper›PMID 40691170›Full record

ArticleNature communications2025

A human brain network linked to restoration of consciousness after deep brain stimulation.

Aaron E L Warren, Marina Raguž, Helen Friedrich, Frederic L W V J Schaper, Jordy Tasserie, Samuel B Snider, Jian Li, Melissa M J Chua, Konstantin Butenko, Maximilian U Friedrich and 10 more

Erratum issuedAbstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Review
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  6. Observational
  7. Reflections on Consciousness in Intensive Care.Acta paediatrica (Oslo, Norway : 1992) · 2026
    Review
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  11. Review
  12. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Aaron E L WarrenDepartment of Neurosurgery, Mass General Brigham, Harvard Medical School, Boston, MA, USA. awarren15@bwh.harvard.edu.ORCID http://orcid.org/0000-0001-6534-2800
Marina RagužDepartment of Neurosurgery, Dubrava University Hospital, Zagreb, Croatia.
Helen FriedrichCenter for Brain Circuit Therapeutics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Frederic L W V J SchaperCenter for Brain Circuit Therapeutics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-5487-0923
Jordy TasserieCenter for Brain Circuit Therapeutics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Samuel B SniderCenter for Brain Circuit Therapeutics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Jian LiAthinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.ORCID http://orcid.org/0000-0002-1691-8727
Melissa M J ChuaDepartment of Neurosurgery, Mass General Brigham, Harvard Medical School, Boston, MA, USA.
Konstantin ButenkoCenter for Brain Circuit Therapeutics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Maximilian U FriedrichCenter for Brain Circuit Therapeutics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-3695-1268
Rohan JhaDepartment of Neurosurgery, Mass General Brigham, Harvard Medical School, Boston, MA, USA.
Juan E IglesiasAthinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Patrick W CarneyEastern Health Clinical School, Monash University, Melbourne, VIC, Australia.
David FischerPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Michael D FoxCenter for Brain Circuit Therapeutics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-8848-6399
Aaron D BoesDepartments of Neurology, Pediatrics, and Psychiatry, Carver College of Medicine, University of Iowa, Iowa City, IA, USA.ORCID http://orcid.org/0000-0002-7865-9257
Brian L EdlowAthinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.ORCID http://orcid.org/0000-0001-7235-8456
Andreas HornCenter for Brain Circuit Therapeutics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-0695-6025
Darko ChudyDepartment of Neurosurgery, Dubrava University Hospital, Zagreb, Croatia.
John D RolstonDepartment of Neurosurgery, Mass General Brigham, Harvard Medical School, Boston, MA, USA. jrolston@bwh.harvard.edu.ORCID http://orcid.org/0000-0002-8843-5468

Funding

Functionally guided adult whole brain cell atlas in human and NHPUM1MH130981 · NIMH · ALLEN INSTITUTE · PI Ed Lein, Hongkui Zeng · 2022 to 2026
$91.9M
BRAIN CONNECTS: The center for Large-scale Imaging of Neural Circuits (LINC)UM1NS132358 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI Suzanne N Haber, Elizabeth M. C. Hillman · 2023 to 2026
$17.5M
Thalamocortical Responsive Neurostimulation for the Treatment of Lennox-Gastaut SyndromeUH3NS109557 · NINDS · NEUROPACE, INC. · PI MORRELL, MARTHA J · 2021 to 2025
$9.7M
Using human brain connectivity to identify the causal neuroanatomical substrate of depression symptomsR01MH113929 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI MICHAEL D FOX · 2017 to 2026
$6.9M
Acquisition-independent machine learning for morphometric analysis of underrepresented aging populations with clinical and low-field brain MRIRF1AG080371 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Juan Eugenio Iglesias Gonzalez · 2023 to 2026
$4.0M
Toward Connectomic Deep Brain Stimulation in Obsessive Compulsive DisorderR01MH130666 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI MICHAEL D FOX · 2022 to 2026
$3.9M
Using Brain Lesions and Deep Brain Stimulation to Identify an Epilepsy CircuitR01NS127892 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI MICHAEL D FOX · 2022 to 2026
$3.4M
Diagnosing the undiagnosable: studies of Alzheimer disease mimics and confounders via "neuropathometry" of dissection photos with 3D scanningR01AG070988 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI IGLESIAS GONZALEZ, JUAN EUGENIO · 2021 to 2025
$2.7M
A Connectome-Based Clinical Trial Platform to Promote Early Recovery of Consciousness after Traumatic ComaDP2HD101400 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI EDLOW, BRIAN L. · 2019 to 2019
$2.5M
Open-source software for multi-scale mapping of the human brainRF1MH123195 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI FISCHL, BRUCE, IGLESIAS GONZALEZ, JUAN EUGENIO · 2020 to 2020
$2.0M
Measuring Brain Complexity to Detect and Predict Recovery of Consciousness in the ICUR01NS138257 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI Melanie Boly, Brian L. Edlow · 2024 to 2026
$1.9M
Predicting Dependency after Traumatic Brain InjuryK23NS136767 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI Samuel Snider · 2024 to 2026
$685k
NIA NIH HHS R01 AG070988NIA NIH HHS RF1 AG080371NICHD NIH HHS DP2 HD101400NIMH NIH HHS R01 MH113929NIMH NIH HHS R01 MH130666NIMH NIH HHS R21 MH126271NIMH NIH HHS RF1 MH123195NIMH NIH HHS UM1 MH130981NINDS NIH HHS K23 NS136745NINDS NIH HHS K23 NS136767NINDS NIH HHS R01 NS127892NINDS NIH HHS R01 NS138257NINDS NIH HHS R21 NS123813NINDS NIH HHS UH3 NS109557NINDS NIH HHS UM1 NS132358
6 · The paper itself

Abstract

Disorders of consciousness are characterized by severe impairments in arousal and awareness. Deep brain stimulation is a potential treatment, but outcomes vary-possibly due to differences in patient characteristics, electrode placement, or the specific brain network engaged. We describe 40 patients with disorders of consciousness undergoing deep brain stimulation targeting the thalamic centromedian-parafascicular complex. Improvements in consciousness are associated with better-preserved gray matter, particularly in the striatum. Electric field modeling reveals that stimulation is most effective when it extends below the centromedian nucleus, engaging the inferior parafascicular nucleus and the adjacent ventral tegmental tract-a pathway that connects the brainstem and hypothalamus and runs along the midbrain-thalamus border. External validation analyzed show that effective stimulation engages a brain network overlapping with disrupted patterns of brain activity observed in two independent cohorts with impaired consciousness: one with arousal-impairing stroke lesions and the other with awareness-impairing seizures. Together, these findings advance the field by informing patient selection, refining stimulation targets, and identifying a brain network linked to recovery that may have broader therapeutic relevance across consciousness-impairing conditions.

Indexed as

BrainConsciousnessConsciousness DisordersDeep Brain StimulationNerve NetAdultAgedFemaleGray MatterHumansMagnetic Resonance ImagingMaleMiddle Aged

Identifiers

PMID40691170
PMCPMC12279989

What OpenQuestion holds

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Registered trials

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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.