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Silvia Casarotto

10 papers in the library · 2,881 citations · publishing 2010-2023

Papers

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TMS-EEG and resting-state EEG applied to altered states of consciousness: oscillations, complexity, and phenomenology.

iScience May 19, 2023 Andres Ort, John W Smallridge, Simone Sarasso et al. 47 citations

Exploring the neurobiology of the profound changes in consciousness induced by classical psychedelic drugs may require novel neuroimaging methods. Serotonergic psychedelic drugs such as psilocybin produce states of increased sensory-emotional awareness and arousal, accompanied by increased spontaneous electroencephalographic (EEG) signal diversity. By directly stimulating cortical tissue, the...

Quantifying arousal and awareness in altered states of consciousness using interpretable deep learning

Nature Communications February 25, 2022 Minji Lee, Leandro R. D. Sanz, Alice Barra et al. 120 citations

Consciousness can be defined by two components: arousal (wakefulness) and awareness (subjective experience). However, neurophysiological consciousness metrics able to disentangle between these components have not been reported. Here, we propose an explainable consciousness indicator (ECI) using deep learning to disentangle the components of consciousness. We employ electroencephalographic (EEG)...

Consciousness and complexity: a consilience of evidence

Neuroscience of Consciousness 2021 Simone Sarasso, Adenauer G. Casali, Silvia Casarotto et al. 183 citations

Abstract Over the last years, a surge of empirical studies converged on complexity-related measures as reliable markers of consciousness across many different conditions, such as sleep, anesthesia, hallucinatory states, coma, and related disorders. Most of these measures were independently proposed by researchers endorsing disparate frameworks and employing different methods and techniques....

Detecting the Potential for Consciousness in Unresponsive Patients Using the Perturbational Complexity Index

Brain Science November 27, 2020 D. Sinitsyn, A. Poydasheva, I. Bakulin et al.

The difficulties of behavioral evaluation of prolonged disorders of consciousness (DOC) motivate the development of brain-based diagnostic approaches. The perturbational complexity index (PCI), which measures the complexity of electroencephalographic (EEG) responses to transcranial magnetic stimulation (TMS), showed a remarkable sensitivity in detecting minimal signs of consciousness in...

The spectral exponent of the resting EEG indexes the presence of consciousness during unresponsiveness induced by propofol, xenon, and ketamine

Neuroimage January 11, 2019 Michele A. Colombo, Martino Napolitani, Melanie Boly et al. 359 citations

Despite the absence of responsiveness during anesthesia, conscious experience may persist. However, reliable, easily acquirable and interpretable neurophysiological markers of the presence of consciousness in unresponsive states are still missing. A promising marker is based on the decay-rate of the power spectral density (PSD) of the resting EEG. We acquired resting electroencephalogram (EEG)...

Meditation-induced modulation of brain response to transcranial magnetic stimulation.

Brain Stimulation November 1, 2018 Olivier Bodart, Matteo Fecchio, Marcello Massimini et al.

Meditation can be conceptualized as a family of complex emotional and attentional regulatory training regimes developed for various ends, including the cultivation of well-being and emotional balance. Previous studies have demonstrated that meditation may have positive effects on self-awareness, emotion regulation, attention processes, and also structural neuroplasticity [1]. However, the...

Stratification of unresponsive patients by an independently validated index of brain complexity

Annals of Neurology September 22, 2016 Silvia Casarotto, Angela Comanducci, Mario Rosanova et al. 504 citations

OBJECTIVE: Validating objective, brain-based indices of consciousness in behaviorally unresponsive patients represents a challenge due to the impossibility of obtaining independent evidence through subjective reports. Here we address this problem by first validating a promising metric of consciousness-the Perturbational Complexity Index (PCI)-in a benchmark population who could confirm the...

Quantifying Cortical EEG Responses to TMS in (Un)consciousness

Clinical EEG and Neuroscience 2014 Simone Sarasso, Mario Rosanova, Adenauer G. Casali et al. 164 citations

We normally assess another individual's level of consciousness based on her or his ability to interact with the surrounding environment and communicate. Usually, if we observe purposeful behavior, appropriate responses to sensory inputs, and, above all, appropriate answers to questions, we can be reasonably sure that the person is conscious. However, we know that consciousness can be entirely...

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

Science Translational Medicine August 14, 2013 Adenauer G. Casali, Olivia Gosseries, Mario Rosanova et al. 1,299 citations

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...

Cortical reactivity and effective connectivity during REM sleep in humans

Cognitive Neuroscience July 1, 2010 Marcello Massimini, Fabio Ferrarelli, Michael J. Murphy et al. 205 citations

We recorded the electroencephalographic (EEG) responses evoked by transcranial magnetic stimulation (TMS) during the first rapid eye movement (REM) sleep episode of the night and we compared them with the responses obtained during previous wakefulness and NREM sleep. Confirming previous findings, upon falling into NREM sleep, cortical activations became more local and stereotypical, indicating...