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Updated: Jan 29, 2026

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients
Published on: February 6, 2021
Human consciousness is supported by dynamic complex patterns of brain signal coordination
A Demertzi1,2,3, E Tagliazucchi3,4, S Dehaene5,6
1GIGA-Consciousness, GIGA Institute B34, University of Liège, Avenue de l'Hôpital, 11, 4000 Sart Tilman, Belgium.
Consciousness relies on complex brain signal coordination. Unconscious states, like after brain damage or anesthesia, show simpler, less dynamic brain patterns, indicating a loss of rich brain dynamics.
Area of Science:
- Neuroscience
- Cognitive Science
- Brain Dynamics
Background:
- Human consciousness is intricately linked to brain dynamics.
- Understanding the neural correlates of consciousness is crucial, especially in altered states like brain injury or anesthesia.
Purpose of the Study:
- To investigate if dynamic signal coordination in brain activity can identify specific patterns for conscious versus unconscious states.
- To establish generalizable neural fingerprints for different states of consciousness.
Main Methods:
- Utilized functional magnetic resonance imaging (fMRI) to analyze dynamic signal coordination patterns.
- Examined brain activity in healthy individuals, minimally conscious patients, unresponsive patients, patients with covert cognition, and during anesthesia.
Main Results:
- Healthy individuals and minimally conscious patients exhibited coordinated and anticoordinated fMRI signal patterns.
- Unresponsive patients displayed reduced interareal phase coherence and limited pattern transitions.
- Covert cognition and anesthesia studies corroborated the link between complex dynamics and consciousness, and simpler dynamics and unconsciousness, respectively.
Conclusions:
- Consciousness is dependent on the brain's capacity to maintain complex and dynamic signal coordination.
- The study identified distinct neural signatures for conscious and unconscious states, offering potential biomarkers.
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