articleScience Translational MedicineAug 14, 2013GREEN OA

A Theoretically Based Index of Consciousness Independent of Sensory Processing and Behavior

University of Milan · Luigi Sacco Hospital · +4 more institutions

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Abstract

One challenging aspect of the clinical assessment of brain-injured, unresponsive patients is the lack of an objective measure of consciousness that is independent of the subject's ability to interact with the external environment. Theoretical considerations suggest that consciousness depends on the brain's ability to support complex activity patterns that are, at once, distributed among interacting cortical areas (integrated) and differentiated in space and time (information-rich). We introduce and test a theory-driven index of the level of consciousness called the perturbational complexity index (PCI). PCI is calculated by (i) perturbing the cortex with transcranial magnetic stimulation (TMS) to engage…

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