Work

Slow wave generation and propagation in a model of brain lesions

Year: 2026
Type: article
Abstract: Slow waves (SWs), the hallmark of non-rapid eye movement (NREM) sleep, reflect the periodic occurrence of transient silent periods in cortical neurons (Down states). During NREM, SWs and Down states physiologically disrupt large-scale network interactions. Since early EEG studies, SWs have also been observed in awake patients after brain injury. Emerging evidence indicates that these intrusions of sleep-like activity interfere with ongoing network activity and contribute to motor and cognitive deficits; yet, the mechanisms governing the generation and spread of post-lesional SWs remain unclear. Here, we extend a neural mass model of EEG to capture transitions between wake-like and sleep-like dynamics and embed it in connectome-based networks with virtual lesions. This model supports that local disfacilitation, topology-dependent propagation, and synchrony-dependent amplification throughout the connectome are sufficient to produce post-lesional SWs. These mechanisms reproduce the spatial gradients of post-lesional SWs seen in patients and identify actionable targets for neuromodulation and rehabilitation.
Source: NeuroImage
Language: English
Open Access status: gold
Estimated APC paid: $3,540
OpenAlex ID: W7130828128
FWCI: 8.355
Cites: 137
Cited by: 2
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