Global structural integrity and effective connectivity in patients with disorders of consciousness

Olivier Bodart, Enrico Amico, Francisco Gómez, Adenauer G. Casali, Sarah Wannez, Lizette Heine, Aurore Thibaut, Jitka Annen, Melanie Boly, Silvia Casarotto, Mario Rosanova, Marcello Massimini, Steven Laureys, Olivia Gosseries

Research output: Contribution to journalArticlepeer-review


Background: Previous studies have separately reported impaired functional, structural, and effective connectivity in patients with disorders of consciousness (DOC). The perturbational complexity index (PCI) is a transcranial magnetic stimulation (TMS) derived marker of effective connectivity. The global fractional anisotropy (FA) is a marker of structural integrity. Little is known about how these parameters are related to each other. Objective: We aimed at testing the relationship between structural integrity and effective connectivity. Methods: We assessed 23 patients with severe brain injury more than 4 weeks post-onset, leading to DOC or locked-in syndrome, and 14 healthy subjects. We calculated PCI using repeated single pulse TMS coupled with high-density electroencephalography, and used it as a surrogate of effective connectivity. Structural integrity was measured using the global FA, derived from diffusion weighted imaging. We used linear regression modelling to test our hypothesis, and computed the correlation between PCI and FA in different groups. Results: Global FA could predict 74% of PCI variance in the whole sample and 56% in the patients' group. No other predictors (age, gender, time since onset, behavioural score) improved the models. FA and PCI were correlated in the whole population (r = 0.86, p < 0.0001), the patients, and the healthy subjects subgroups. Conclusion: We here demonstrated that effective connectivity correlates with structural integrity in brain-injured patients. Increased structural damage level decreases effective connectivity, which could prevent the emergence of consciousness.

Original languageEnglish
JournalBrain Stimulation
Publication statusE-pub ahead of print - Nov 2017


  • Connectivity
  • Diffusion tensor imaging
  • Electroencephalography
  • Minimally conscious state
  • Transcranial magnetic stimulation
  • Unresponsive wakefulness syndrome

ASJC Scopus subject areas

  • Neuroscience(all)
  • Biophysics
  • Clinical Neurology


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