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Safely Switching Consciousness Off and On Again

What can we learn about consciousness from anesthetized patients?














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Returning from Oblivion

In a second experiment, by a group primarily based at the University of Turku in Finland, involving Harry Scheinin, Jaakko W. Långsjö and Michael T. Alkire, 20 volunteers were put to sleep with two different substances, dexmedetomidine and propofol (again, to make sure that the outcome does not depend on any one specific agent). After being injected with the radioactive tracer, the subjects lay down inside a PET scanner. The anesthesiologists measured the regional cerebral blood flow when the patients regained consciousness—that is, when the subjects could open their eyes again in response to a persistent command (albeit given only once every five minutes).

Subsequent statistical analysis fingered phylogenetically older regions in the brain stem (in particular, the locus coeruleus and parabrachial area that contains the noradrenergic neurons that project widely throughout the corticothalamic complex and exert broad effects on the brain). They mediate the arousal needed for behavioral responses—such as blinking the eyes—to occur. As consciousness returns, the thalamus is exuberantly active, whereas the cortex shows a much more circumscribed response, primarily in those frontal regions responsible for monitoring of the self.

The conjoined activation of both the cortex and thalamus appears at odds with the previous study, which implicated the cortex as the driver and the thalamus as the follower. Yet the two techniques (EEG versus PET imaging) measure distinct signals (voltage versus blood flow, which is 1,000 times more sluggish), compounded by the fact that the first study checked whether or not the patients were conscious every 20 seconds, whereas the second one inquired only every five minutes.

Furthermore, although consciousness waxes and wanes during anesthesia, many other processes—the overall level of brain arousal, the ability to move and to remember, the experience of pain and other sensations, and so on, each with their own neuronal signature—also vary and confound the search for the sources of consciousness. Finally, just as the sequence of operations on booting up a computer are not the same as those that occur when the machine is shut down, the brain events accompanying the return of consciousness are unlikely to be identical to those that cause consciousness to cease.

These two exemplary studies point to the difficulties, but also to the progress, of the quest to unravel the mind-body riddle.


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ABOUT THE AUTHOR(S)

CHRISTOF KOCH is chief scientific officer at the Allen institute for Brain Science in Seattle and Lois and Victor Troendle Professor of Cognitive and Behavioral Biology at the California Institute of Technology. He serves on Scientific American Mind's board of advisers.


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  1. 1. jayjacobus 09:14 AM 9/15/12

    It's not apparent whether the mind is switched off or consciousness ceases.

    Is there a mind-body riddle or a conscious-mind riddle or both?

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  2. 2. vinodkumarsehgal 02:01 PM 9/20/12

    All the research studies of neuro scientists are based upon one broad hypothesis: Mind and consciousness are the off shoots of neuronal activity in brain. Why don't they think from the reverse paradigm : Neuronal activity results from mental activity? Consciousness, mind and brain are three distinct entities but intricately linked with each other and work in tandem. A reduction in the neuronal activity in different parts of brain viz neocortex, cortex and thalmus thru anaesthesia greatly reduces the manifestation of mind and consciousness to the level of brain but this does not amounts to state that mind and consciousness are primarily produced by brain.

    Even under anaesthesia, all the mental and personality traits remain intact but dormant and once anaesthesia effect is over, all the mental and personality traits revert back. This itself establishes that mind is different than brain and during anaesthesia and deep sleep, it becomes deactivated. But what about consciousness? It is neither brain nor mind. An entity distinct from mind and brain --- activates mind and brain (body) and stays as the ultimate perceiver of all whatever happens in mind and body

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  3. 3. Marcia Malory 04:39 PM 9/20/12

    It would be interesting to see similar studies done with people who experience mixed states of consciousness, such as lucid dreams or sleepwalking episodes. There are some people who don't completely lose consciousness when under anesthesia. (Scary!) What happens in their brains?

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  4. 4. marclevesque 07:14 PM 9/20/12

    "The link between consciousness and this organ is tight, as expressed in the adage “No brain: never mind!” Yet neuroscientists are trying to track the footprints of consciousness to its actual lair."

    In their own way do not all creatures have lairs ?

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  5. 5. jgrosay 08:17 AM 9/21/12

    There are some funny facts related to anesthesia: not long ago, the event a patient gaining conscience while supposedly under deep anesthesia and still subject to the surgical procedure was accounted as a % of all the anesthetic acts. One of the products anesthesiologists employed to have the patient skeletal muscles relaxed, a goal first obtained by Curare-derived products, came from a Caribbean fish, the Haiti sorcerers made a preparation from that fish that they used to keep people paralyzed but conscious, they buried them, and after some time, usually days, the sorcerer took its victim out of the grave where the bewitched was put, and used him/her as a zombie for the sorcerer benefit, supposedly committing crimes for the sorcerer. The way they keep their victims paralyzed is known, the curare-like product from the fish, the rest of the process remains a mystery, as for the elusive "Golems".

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  6. 6. RSW 02:28 PM 9/22/12

    What I don't understand is why these anesthetic drugs don't affect the neural nets controlling basic life functions, like breathing and heart beat.

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  7. 7. vinodkumarsehgal in reply to RSW 08:21 AM 9/28/12

    I think after a certain dosage of anaesthesia neural nets controlling life vital like breathing and heart functioning should also be collapsing. Only some specialist in anaesthesia can give final answer

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  8. 8. jayjacobus in reply to vinodkumarsehgal 12:40 PM 12/15/12

    I speculate that neuronal activity brings the outside world to the mental world. For sound, the links are vibrations to sound waves to ear to auditory nerve to brain and then to mind.

    If mind is independent of the brain then why is there a need for any links at all?

    The process that creates the mind is unknown but the pathway is through the brain. Is the mind an intangible slate that is written on by the brain or is the mental phenomenon all there is to the mind?

    The source of consciousness is unknown. Could it be the brain? It could be but I don't know how to test that hypothesis.

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  9. 9. RSW in reply to jayjacobus 03:31 PM 12/15/12

    By "speculat[ing] that neronal activity brings the outside world to the mental world", you seem to assume that the brain and mind are separate from each other. This Cartesian view is currently in disrepute among most scientists, but perhaps not among some philosophers and religionists.

    One hint that the brain must somehow be involved in consciousness is that only certain kinds of life forms exhibit some degree of consciousness and all of them happen to have brains.

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  10. 10. jayjacobus in reply to RSW 04:51 PM 12/15/12

    The computer and monitor are different. And the output on the monitor is different than the monitor.

    Qualia are not brain but they are the output of brain. To say that qualia do not exists is to limit the discussion of mind and brain to just brain.

    Brain is tangible but mind is not. Mind is sound, images, feelings, thoughts, tastes and smells; all intangible phenomenon.

    But thanks for answering my post. Your thinking sheds light on the scientific perspective.

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  11. 11. jayjacobus in reply to jayjacobus 05:05 PM 12/15/12

    Also, mind exists because of consciousness or consciousness exists because of mind. (which came first?) In evolutionary terms I say that consciousness came first because mind would never evolve without consciousness. But then what did consciousness evolve from?

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  12. 12. RSW 05:11 PM 12/15/12

    I'm not clear on how you distinguish "tangible" from "intangible." In what sense is the brain tangible? I can open up a human skull and "look at" the brain. Thus, it is an image. One can smell it, touch it, and taste it too, if one is "a mind to". Thus, isn't the brain also intangible?

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  13. 13. jayjacobus in reply to RSW 05:17 PM 12/15/12

    There are two brains: the real material brain and the brain in a persons mind. The real material brain is tangible. The brain in a person's mind is intangible.

    If you prick your finger, there is a material needle and a material finger. But you are only aware of the mind needle and the mind finger.

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