Electrophysiological Signatures of Alpha Coma

Alpha-coma shows increased aperiodic activity and EEG complexity, despite similar alpha power and clustering coefficient. The increased aperiodic activity aligns with findings in other comatose patients, including those sedated or with subcortical dysfunction. However, the increased entropy contradicts existing literature, suggesting that alpha-coma may represent a state of widespread cortical dysfunction likely resulting from nonhierarchical, turbulent brain activity. This indicates that the loss of consciousness does not guarantee consistent cortical measures across the whole spectrum of EEG patterns.

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Publication Details

Journal
Journal of Clinical Neurophysiology
Published
2025-01-09
DOI
https://doi.org/10.1097/wnp.0000000000001141
Citations
1
Primary Topic
Cardiac Arrest and Resuscitation
Type
article
Field-Weighted Citation Impact
2.25

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Electrophysiological Signatures of Alpha Coma

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Electrophysiological Signatures of Alpha Coma

Hervé Quintard, Francesco Misirocchi, Pia De Stefano, Isotta Rigoni, Margitta Seeck, Serge Vulliémoz, Giulio Degano, Andreas Kleinschmidt, Peter W. Kaplan, Karl Schaller
article en
1 citations

Abstract

Alpha-coma shows increased aperiodic activity and EEG complexity, despite similar alpha power and clustering coefficient. The increased aperiodic activity aligns with findings in other comatose patients, including those sedated or with subcortical dysfunction. However, the increased entropy contradicts existing literature, suggesting that alpha-coma may represent a state of widespread cortical dysfunction likely resulting from nonhierarchical, turbulent brain activity. This indicates that the loss of consciousness does not guarantee consistent cortical measures across the whole spectrum of EEG patterns.

Journal of Clinical NeurophysiologyVol. 42(7)
University of Geneva (CH), University of Parma (IT), Johns Hopkins University (US), Johns Hopkins Bayview Medical Center (US), University Hospital of Geneva (CH), Centre d'Imagerie BioMedicale (CH)
National Science Foundation, Teva Pharmaceutical Industries, American Clinical Neurophysiology Society, Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung, H. Lundbeck A/S
Openalex Percentile: Top 18%
Cardiac Arrest and Resuscitation
2.25
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Electrophysiological Signatures of Alpha Coma — Hervé Quintard, Francesco Misirocchi, et al. · Journal of Clinical Neurophysiology (2025) | TGRS Research Map | TGRS