Evidence map›Paper›PMID 40715593›Full record

ArticleScientific reports2025

Modulation of consciousness in disorders of consciousness by HD-tDCS targeting frontal and posterior cortical regions.

Yongkun Guo, Yuan Zhong, Anqin Dong, Wanqing Liu, Shuai Han, Kang Zhang, Jingwei Xie, Pengyuan Zheng, Yihua Wang, Chunyun Zhang

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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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

10 authors.

Yongkun Guo *Department of Neurosurgery, Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China.
Yuan Zhong *Department of Neurosurgery, Qilu Hospital of Shandong University(Qingdao), Qingdao, 266000, China.
Anqin DongDepartment of Neurosurgery, Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China.
Wanqing LiuDepartment of Neurosurgery, Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China.
Shuai HanDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Kang ZhangDepartment of Neurosurgery, First Hospital of Jilin University, Changchun, 130021, China.
Jingwei XieDepartment of Neurosurgery, Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China.
Pengyuan ZhengDepartment of Neurosurgery, Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China.
Yihua WangDepartment of Neurosurgery, Qilu Hospital of Shandong University(Qingdao), Qingdao, 266000, China. wyh120071@qlyyqd.com.
Chunyun ZhangDepartment of Neurosurgery, Qilu Hospital of Shandong University(Qingdao), Qingdao, 266000, China. Chunyun_Zhang@hotmail.com.

Funding

Henan Province Science and Technology Key Project 242102311005Key projects of Qilu Hospital (Qingdao) Foundation QDKY2020ZD01National Natural Science Foundation of China 8200111
6 · The paper itself

Abstract

The search for neural correlates of consciousness has always been a hot topic in the field of consciousness. Previous studies have shown that high-density transcranial direct current stimulation (HD-tDCS) can promote the recovery of consciousness level in patients with disorders of consciousness (DOC). This study intends to explore the neuromodulatory effects of HD-tDCS at different target from the perspectives of brain spatiotemporal dynamics and directed information flow, thereby clarifying the key brain areas for the origin of consciousness. The study prospectively used a high-density transcranial direct current stimulation (HD-tDCS) protocol to perform repeated stimulation at different target points for 46 DOC patients (F3 group, n = 11; sham group, n = 19; Pz group, n = 16). The Coma Recovery Scale-Revised (CRS-R) index was calculated, and microstate analysis and symbolic transfer entropy(STE) brain network construction were performed before and 14 days after HD-tDCS stimulation. We identified seven microstates with different spatial distributions of electrode activation. There were significant differences in microstates (including spatial activation patterns and brain dynamics) for different stimulation protocols. At the same time, the F3 group strengthened the information flow from the anterior to the posterior brain and internal information flow in the anterior brain in the theta band, while the Pz group mainly increased the information flow between the left frontal and parietal lobes in the theta and alpha bands. The study suggests that consciousness is the result of the comprehensive action of the anterior and posterior brain, and there is an overlap in the mechanisms of action between the two HD-tDCS stimulation protocols, suggesting that a multi-target combined stimulation protocol may be a potentially better stimulation scheme.

Indexed as

ConsciousnessConsciousness DisordersFrontal LobeTranscranial Direct Current StimulationAdultAgedFemaleHumansMaleMiddle AgedParietal LobeProspective StudiesDisorders of consciousnessMicrostateSymbolic transfer entropyTranscranial direct current stimulation

Identifiers

PMID40715593
PMCPMC12297544

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