Biology subjects

Comanducci, A.

Publications and source records attributed to Comanducci, A..

4 recordsLinked to original sources

bioRxiv2026

Critical dynamics in spontaneous EEG predict perturbational complexity in disorders of consciousness with measurable evoked responses

Identifying which severely brain-injured patients retain the capacity for consciousness remains a major challenge in neurocritical care. The perturbational complexity index (PCI) provides a reliable assessment of consciousness capacity, but its reliance on transcranial magnetic stimulation and EEG (TMS-EEG) limits bedside scalability. PCI and brain criticality capture complementary dimensions of brain dynamics: PCI quantifies the complexity of the brains evoked response to perturbation, whereas criticality characterizes the intrinsic organization of spontaneous activity. Here, we tested whether resting-state EEG signatures of criticality predict PCImax in disorders of consciousness, extending prior findings from anesthesia to severe brain injury. In 26 patients with vascular, traumatic, or anoxic brain injury, multivariate criticality related features did not generalize PCImax prediction across the full heterogeneous cohort. However, criticality features predicted PCImax when analyses were restricted to non-anoxic patients and when restricting analyses to patients with non-zero PCImax values. These findings suggest that spontaneous criticality measures index the brains intrinsic dynamical regime that supports complex perturbational responses, while their correspondence with PCImax depends on whether the injured brain retains sufficient capacity to sustain large-scale evoked responses. Together, our results extend the relationship between resting-state criticality and evoked perturbational complexity to disorders of consciousness and support the development of stratified EEG measures in severe brain injury.

neuroscience↗

bioRxiv2021

The rt-TEP tool: real-time visualization of TMS-evoked potentials to maximize cortical activation and minimize artifacts

BackgroundThe impact of transcranial magnetic stimulation (TMS) on cortical neurons is currently hard to predict based on a priori biophysical and anatomical knowledge alone. This problem can hamper the reliability and reproducibility of protocols aimed at measuring electroencephalographic (EEG) responses to TMS. New MethodWe introduce and release a novel software tool to facilitate and standardize the acquisition of TMS-evoked potentials (TEPs). The tool, rt-TEP (real-time TEP), interfaces with different EEG amplifiers and offers a series of informative visualization modes to assess in real time the immediate impact of TMS on the underlying neuronal circuits. ResultsWe show that rt-TEP can be used to abolish or minimize magnetic and muscle artifacts contaminating the post-stimulus period thus affording a clear visualization and quantification of the amplitude of the early (<50 ms) EEG response after averaging a limited number of trials. This real-time readout can then be used to adjust TMS parameters (e.g. site, orientation, intensity) and experimental settings (e.g. loudness and/or spectral features of the noise masking) to ultimately maximize direct cortical effects over the undesired sensory effects of the coils discharge. Comparison with Existing MethodsThe ensemble of real-time visualization modes of rt-TEP are not implemented in any current commercial software and provide a key readout to titrate TMS parameters beyond the a priori information provided by anatomical models. ConclusionsReal-time optimization of stimulation parameters with rt-TEP can facilitate the acquisition of reliable TEPs with a high signal-to-noise ratio and improve the standardization and reproducibility of data collection across laboratories. HighlightsO_LIrt-TEP provides an immediate EEG readout to assess the quality of TEPs in real time C_LIO_LIrt-TEP interfaces with most commercial EEG systems C_LIO_LIInformative, real time visualization allows maximising the cortical impact of TMS while minimizing artifacts C_LIO_LIrt-TEP facilitates the acquisition of reliable TEPs with a high signal-to-noise ratio C_LI

neuroscience↗

bioRxiv2018

Sleep-like bistability, loss of causality and complexity in the brain of Unresponsive Wakefulness Syndrome patients

Unresponsiveness Wakefulness Syndrome (UWS) patients may retain intact portions of the thalamocortical system that are spontaneously active and responsive to sensory stimuli. In these patients, Transcranial Magnetic Stimulation combined with electroencephalography (TMS/EEG) also reveals preserved cortical reactivity, but in most cases, the residual thalamocortical circuits fail to engage complex causal interactions, as assessed by the perturbational complexity index (PCI). Another condition during which thalamocortical circuits are intact, active and reactive, yet unable to generate complex responses, is physiological non-rapid eye movement (NREM) sleep. The underlying mechanism is bistability: the tendency of cortical neurons to fall into a silent period (OFF-period) upon receiving an input. Here we tested whether a pathological form of bistability may be responsible for loss of brain complexity in UWS patients. Time-frequency decomposition analysis of TMS/EEG responses in UWS patients revealed the occurrence of OFF-periods (detected as a transient suppression of high-frequency oscillations in the EEG) similar to the ones evoked by TMS in the cortex of healthy sleeping subjects. Pathological OFF-periods were detected in any cortical area, significantly impaired local causal interactions (as measured by PLF) and prevented the build-up of global complexity (as measured by PCI) in the brain of UWS patients. Our results draw a first link between neuronal events (OFF-periods) and global brain dynamics (complexity) in UWS patients. To the extent that sleep-like bistability represents the common functional endpoint of loss of complexity, detecting its presence and tracking its evolution over time, may offer a valuable read-out to devise, guide and titrate therapeutic strategies aimed at restoring consciousness.

neuroscience↗

bioRxiv2017

The Spectral Features Of EEG Responses To Transcranial Magnetic Stimulation Of The Primary Motor Cortex Depend On The Amplitude Of The Motor Evoked Potentials

Transcranial magnetic stimulation (TMS) of the primary motor cortex (M1) can excite both cortico-cortical and cortico-spinal axons resulting in TMS-evoked potentials (TEPs) and motor-evoked potentials (MEPs), respectively. Despite this remarkable difference with other cortical areas, the influence of motor output and its amplitude on TEPs is largely unknown. Here we studied TEPs resulting from M1 stimulation and assessed whether their waveform and spectral features depend on the MEP amplitude. To this aim, we performed two separate experiments. In experiment 1, single-pulse TMS was applied at the same supra-threshold intensity on primary motor, prefrontal, premotor and parietal cortices and the corresponding TEPs were compared by means of local mean field power and time-frequency spectral analysis. In experiment 2 we stimulated M1 at resting motor threshold in order to elicit MEPs characterized by a wide range of amplitudes. TEPs computed from high-MEP and low-MEP trials were then compared using the same methods applied in experiment 1. In line with previous studies, TMS of M1 produced larger TEPs compared to other cortical stimulations. Notably, we found that only TEPs produced by M1 stimulation were accompanied by a late ([~]300 ms after TMS) event-related desynchronization (ERD), whose magnitude was strongly dependent on the amplitude of MEPs. Overall, these results suggest that M1 produces peculiar responses to TMS possibly reflecting specific anatomo-functional properties, such as the re-entry of proprioceptive feedback associated with target muscle activation.

neuroscience↗