Functional and structural brain connectivity in disorders of consciousness.

Consciousness Disorders of consciousness Functional connectivity Global neuronal workspace Structural connectivity

Journal

Brain structure & function
ISSN: 1863-2661
Titre abrégé: Brain Struct Funct
Pays: Germany
ID NLM: 101282001

Informations de publication

Date de publication:
25 Jul 2024
Historique:
received: 01 11 2023
accepted: 12 07 2024
medline: 26 7 2024
pubmed: 26 7 2024
entrez: 25 7 2024
Statut: aheadofprint

Résumé

Brain connectivity, allowing information to be shared between distinct cortical areas and thus to be processed in an integrated way, has long been considered critical for consciousness. However, the relationship between functional intercortical interactions and the structural connections thought to underlie them is poorly understood. In the present work, we explore both functional (with an EEG-based metric: the median weighted symbolic mutual information in the theta band) and structural (with a brain MRI-based metric: fractional anisotropy) connectivities in a cohort of 78 patients with disorders of consciousness. Both metrics could distinguish patients in a vegetative state from patients in minimally conscious state. Crucially, we discovered a significant positive correlation between functional and structural connectivities. Furthermore, we showed that this structure-function relationship is more specifically observed when considering structural connectivity within the intra- and inter-hemispheric long-distance cortico-cortical bundles involved in the Global Neuronal Workspace (GNW) theory of consciousness, thus supporting predictions of this model. Altogether, these results support the interest of multimodal assessments of brain connectivity in refining the diagnostic evaluation of patients with disorders of consciousness.

Identifiants

pubmed: 39052096
doi: 10.1007/s00429-024-02839-8
pii: 10.1007/s00429-024-02839-8
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Académie des Sciences, Institut de France
ID : Lamonica Prize 2016
Organisme : Agence Nationale de la Recherche
ID : Investissements d'avenir ANR-10-IAIHU-06 program
Organisme : Agence Nationale de la Recherche
ID : Investissements d'avenir ANR-10-IAIHU-06 program
Organisme : Agence Nationale de la Recherche
ID : Investissements d'avenir ANR-10-IAIHU-06 program
Organisme : European Commission
ID : PerMed grant

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Victor Altmayer (V)

Sorbonne University, Paris, F-75013, France.
Department of Neurology, AP-HP, Pitié-Salpêtrière Hospital, Neuro-ICU, Paris, F-75013, France.

Aude Sangare (A)

Sorbonne University, Paris, F-75013, France.
Department of Neurophysiology, AP-HP, Pitié-Salpêtrière Hospital, Paris, F-75013, France.
PICNIC-Lab, Paris Brain Institute, (ICM), INSERM, CNRS, Hôpital Pitié Salpêtrière, 47 bvd de l'hôpital, Paris, F-75013, France.

Charlotte Calligaris (C)

Sorbonne University, Paris, F-75013, France.
Department of Neurology, AP-HP, Pitié-Salpêtrière Hospital, Neuro-ICU, Paris, F-75013, France.

Louis Puybasset (L)

Sorbonne University, Paris, F-75013, France.
Department of Neuro-anesthesiology and Neurocritical Care, AP-HP, Pitié-Salpêtrière Hospital, Paris, F-75013, France.

Vincent Perlbarg (V)

BrainTale, Strasbourg, F-67000, France.

Lionel Naccache (L)

Sorbonne University, Paris, F-75013, France.
Department of Neurophysiology, AP-HP, Pitié-Salpêtrière Hospital, Paris, F-75013, France.
PICNIC-Lab, Paris Brain Institute, (ICM), INSERM, CNRS, Hôpital Pitié Salpêtrière, 47 bvd de l'hôpital, Paris, F-75013, France.

Jacobo Diego Sitt (JD)

PICNIC-Lab, Paris Brain Institute, (ICM), INSERM, CNRS, Hôpital Pitié Salpêtrière, 47 bvd de l'hôpital, Paris, F-75013, France.

Benjamin Rohaut (B)

Sorbonne University, Paris, F-75013, France. benjamin.rohaut@icm-institute.org.
Department of Neurology, AP-HP, Pitié-Salpêtrière Hospital, Neuro-ICU, Paris, F-75013, France. benjamin.rohaut@icm-institute.org.
PICNIC-Lab, Paris Brain Institute, (ICM), INSERM, CNRS, Hôpital Pitié Salpêtrière, 47 bvd de l'hôpital, Paris, F-75013, France. benjamin.rohaut@icm-institute.org.

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