Distinct and Dissociable EEG Networks Are Associated With Recovery of Cognitive Function Following Anesthesia-Induced Unconsciousness

Bibliographic Details
Title: Distinct and Dissociable EEG Networks Are Associated With Recovery of Cognitive Function Following Anesthesia-Induced Unconsciousness
Authors: Alexander Rokos, Bratislav Mišić, Kathleen Berkun, Catherine Duclos, Vijay Tarnal, Ellen Janke, Paul Picton, Goodarz Golmirzaie, Mathias Basner, Michael S. Avidan, Max B. Kelz, George A. Mashour, Stefanie Blain-Moraes
Source: Frontiers in Human Neuroscience, Vol 15 (2021)
Publisher Information: Frontiers Media S.A., 2021.
Publication Year: 2021
Collection: LCC:Neurosciences. Biological psychiatry. Neuropsychiatry
Subject Terms: brain networks, functional connectivity, electroencephalography, cognitive function, anesthesia, partial least squares, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
More Details: The temporal trajectories and neural mechanisms of recovery of cognitive function after a major perturbation of consciousness is of both clinical and neuroscientific interest. The purpose of the present study was to investigate network-level changes in functional brain connectivity associated with the recovery and return of six cognitive functions after general anesthesia. High-density electroencephalograms (EEG) were recorded from healthy volunteers undergoing a clinically relevant anesthesia protocol (propofol induction and isoflurane maintenance), and age-matched healthy controls. A battery of cognitive tests (motor praxis, visual object learning test, fractal-2-back, abstract matching, psychomotor vigilance test, digital symbol substitution test) was administered at baseline, upon recovery of consciousness (ROC), and at half-hour intervals up to 3 h following ROC. EEG networks were derived using the strength of functional connectivity measured through the weighted phase lag index (wPLI). A partial least squares (PLS) analysis was conducted to assess changes in these networks: (1) between anesthesia and control groups; (2) during the 3-h recovery from anesthesia; and (3) for each cognitive test during recovery from anesthesia. Networks were maximally perturbed upon ROC but returned to baseline 30–60 min following ROC, despite deficits in cognitive performance that persisted up to 3 h following ROC. Additionally, during recovery from anesthesia, cognitive tests conducted at the same time-point activated distinct and dissociable functional connectivity networks across all frequency bands. The results highlight that the return of cognitive function after anesthetic-induced unconsciousness is task-specific, with unique behavioral and brain network trajectories of recovery.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1662-5161
Relation: https://www.frontiersin.org/articles/10.3389/fnhum.2021.706693/full; https://doaj.org/toc/1662-5161
DOI: 10.3389/fnhum.2021.706693
Access URL: https://doaj.org/article/7bb16e6bb5a74e078275a79b54d40d83
Accession Number: edsdoj.7bb16e6bb5a74e078275a79b54d40d83
Database: Directory of Open Access Journals
More Details
ISSN:16625161
DOI:10.3389/fnhum.2021.706693
Published in:Frontiers in Human Neuroscience
Language:English