Brain activity during unconsciousness, whether from general anaesthesia or slow wave sleep, is dominated by a recurrent functional connectivity pattern primarily mediated by structural connectivity and with a reduced capacity to transition to other patterns. Conscious awareness is characterized by richer brain dynamics measured by entropy and a greater repertoire of connectivity states. These findings suggest that the dynamic exploration of functional connectivity states provides robust and generalizable markers for the state of consciousness across different conditions.
Transcranial direct current stimulation (tDCS) applied to the prefrontal cortex alters the dynamic organization of functional connectivity in the primate brain, with effects depending on the state of consciousness. In awake macaques, cathodal tDCS disrupted the repertoire of connectivity patterns, increased structure-function correlation, decreased Shannon entropy, and favored transitions toward anatomically based patterns. Under deep sedation, anodal tDCS significantly altered brain pattern distribution and reduced structure-function correlation. The stimulation also modified dynamic connectivity arrangements typically associated with consciousness and unconsciousness. These findings suggest that prefrontal tDCS can modulate brain dynamics differently in conscious and unconscious states, offering insights into mechanisms relevant to disorders of consciousness.