By connecting old and recent notions, different spatial scales, and research domains, we introduce a novel framework on the consequences of brain injury focusing on a key role of slow waves. We argue that the long-standing finding of EEG slow waves after brain injury reflects the intrusion of sleep-like cortical dynamics during wakefulness; we illustrate how these dynamics are generated and how they can lead to functional network disruption and behavioral impairment. Finally, we outline a scenario whereby post-injury slow waves can be modulated to reawaken parts of the brain that have fallen asleep to optimize rehabilitation strategies and promote recovery.

Sleep-like cortical dynamics during wakefulness and their network effects following brain injury / M. Massimini, M. Corbetta, M.V. Sanchez-Vives, T. Andrillon, G. Deco, M. Rosanova, S. Sarasso. - In: NATURE COMMUNICATIONS. - ISSN 2041-1723. - 15:1(2024 Aug 22), pp. 7207.1-7207.15. [10.1038/s41467-024-51586-1]

Sleep-like cortical dynamics during wakefulness and their network effects following brain injury

M. Massimini
Primo
;
M. Rosanova
Penultimo
;
S. Sarasso
Ultimo
2024

Abstract

By connecting old and recent notions, different spatial scales, and research domains, we introduce a novel framework on the consequences of brain injury focusing on a key role of slow waves. We argue that the long-standing finding of EEG slow waves after brain injury reflects the intrusion of sleep-like cortical dynamics during wakefulness; we illustrate how these dynamics are generated and how they can lead to functional network disruption and behavioral impairment. Finally, we outline a scenario whereby post-injury slow waves can be modulated to reawaken parts of the brain that have fallen asleep to optimize rehabilitation strategies and promote recovery.
Settore BIO/09 - Fisiologia
Settore MED/26 - Neurologia
Settore BIOS-06/A - Fisiologia
Settore MEDS-12/A - Neurologia
   NEurological MEchanismS of Injury and Sleep-like cellular dynamics (NEMESIS)
   NEMESIS
   EUROPEAN COMMISSION
   101071900

   European Brain ReseArch INfrastructureS-Italy (EBRAINS-Italy)
   EBRAINS-Italy
   MINISTERO DELL'UNIVERSITA' E DELLA RICERCA

   Human Brain Project Specific Grant Agreement 3 (HBP SGA3)
   HBP SGA3
   EUROPEAN COMMISSION
   H2020
   945539

   Sleeping While Awake: Sleep intrusions during wakefulness and their cognitive consequences
   SleepingAwake
   European Commission
   Horizon Europe Framework Programme
   101116748

   A Multimodal Approach to Personalized Tracking of Evolving State-Of-Consciousness in Brain-Injured Patients (PerBrain)
   PerBrain
   FONDAZIONE REGIONALE PER LA RICERCA BIOMEDICA
22-ago-2024
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/1088909
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