Loss of consciousness under anesthesia increasingly constrains brain activity to follow the brain's physical structure, collapsing hierarchical cortical organization across scales. This effect was observed with three different anesthetics—propofol, sevoflurane, and ketamine—and was reversed by electrically stimulating the central thalamus, which also restored behavioral signs of arousal. Stimulating the ventral lateral thalamus did not produce these effects, showing specificity. The findings identify distributed brain signatures of consciousness that are orchestrated by particular thalamic nuclei.
Brain activity during unconsciousness, whether from general anaesthesia or slow wave sleep, is dominated by a recurrent functional connectivity pattern primarily mediated by structural connectivity and with a reduced capacity to transition to other patterns. Conscious awareness is characterized by richer brain dynamics measured by entropy and a greater repertoire of connectivity states. These findings suggest that the dynamic exploration of functional connectivity states provides robust and generalizable markers for the state of consciousness across different conditions.