Awakening after a sleeping pill: Restoring functional brain networks after severe brain injury

Hisse Arnts, Willemijn S van Erp, Lennard I Boon, Conrado A Bosman, Marjolein M Admiraal, Anouk Schrantee, Cyriel M A Pennartz, Rick Schuurman, Cornelis J Stam, Anne-Fleur van Rootselaar, Arjan Hillebrand, Pepijn van den Munckhof

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Some patients with severe brain injury show short-term neurological improvements, such as recovery of consciousness, motor function, or speech after administering zolpidem, a GABA receptor agonist. The working mechanism of this paradoxical phenomenon remains unknown. In this study, we used electroencephalography and magnetoencephalography to investigate a spectacular zolpidem-induced awakening, including the recovery of functional communication and the ability to walk in a patient with severe hypoxic-ischemic brain injury. We show that cognitive deficits, speech loss, and motor impairments after severe brain injury are associated with stronger beta band connectivity throughout the brain and suggest that neurological recovery after zolpidem occurs with the restoration of beta band connectivity. This exploratory work proposes an essential role for beta rhythms in goal-directed behavior and cognition. It advocates further fundamental and clinical research on the role of increased beta band connectivity in the development of neurological deficits after severe brain injury.

Original languageEnglish
Pages (from-to)135-146
Number of pages12
JournalCortex
Volume132
Early online date3 Sep 2020
DOIs
Publication statusPublished - Nov 2020

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