Suppressed neural complexity during ketamine- and propofol-induced unconsciousness

다국어 초록 (Multilingual Abstract)

<P><B>Abstract</B></P> <P>Ketamine and propofol have distinctively different molecular mechanisms of action and neurophysiological features, although both induce loss of consciousness. Therefore, identifying a common feature of ketamine- and propofol-induced unconsciousness would provide insight into the underlying mechanism of losing consciousness. In this study we search for a common feature by applying the concept of type-II complexity, and argue that neural complexity is essential for a brain to maintain consciousness. To test this hypothesis, we show that complexity is suppressed during loss of consciousness induced by ketamine or propofol. We analyzed the randomness (type-I complexity) and complexity (type-II complexity) of electroencephalogram (EEG) signals before and after bolus injection of ketamine or propofol. For the analysis, we use Mean Information Gain (MIG) and Fluctuation Complexity (FC), which are information-theory-based measures that quantify disorder and complexity of dynamics respectively. Both ketamine and propofol reduced the complexity of the EEG signal, but ketamine increased the randomness of the signal and propofol decreased it. The finding supports our claim and suggests EEG complexity as a candidate for a consciousness indicator.</P> <P><B>Highlights</B></P> <P> <UL> <LI> A reduction of complexity may be a common feature of unconscious state. </LI> <LI> Complexity-randomness analysis was performed on the electroencephalogram. </LI> <LI> Ketamine (propofol) increased (decreased) the randomness of neural dynamics. </LI> <LI> Complexity decreased in both ketamine- and propofol-induced unconsciousness. </LI> </UL> </P>