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Sleep-like cortical dynamics during wakefulness and their network effects following brain injury

By connecting old and recent notions, different spatial scales, and research domains, we introduce a novel framework on the consequences of brain injury focusing on a key role of slow waves. We argue that the long-standing finding of EEG slow waves after brain injury reflects the intrusion of sleep-like cortical dynamics during wakefulness; we illustrate how these dynamics are generated and how they can lead to functional network disruption and behavioral impairment. Finally, we outline a scenario whereby post-injury slow waves can be modulated to reawaken parts of the brain that have fallen asleep to optimize rehabilitation strategies and promote recovery.

(Nature Research, 2024) Massimini, Marcello; Corbetta, Maurizio; Sanchez-Vives, Maria V.; Andrillon, Thomas; Deco, Gustavo; Rosanova, Maria Teresa; Sarasso, Simone