EEG correlates of G-induced loss of consciousness.

INTRODUCTION

Electroencephalographic (EEG) correlates of Gz-induced loss of consciousness (G-LOC) were examined to better understand the mechanisms of G-LOC.

METHODS

There were 10 subjects (4 women) who provided 35 G-LOC episodes during which 13 channels of EEG and eye activity were recorded. Subjects simultaneously performed tracking and mathematical tasks prior to and following G-LOC. The performance data and cerebral regional oxygen saturation (rSO2), as measured using near infrared spectroscopy, were correlated with the EEG changes.

RESULTS

Across all subjects, seven EEG events were identified and measured. The two most significant were found over widespread scalp sites. They were a 1-2 Hz waveform just prior to G-LOC and a very large, approximately 1 Hz waveform just prior to regaining consciousness. These were associated with a drop of rSO2 levels to approximately 90% of the pre-G-LOC baseline levels. rSO2 levels returned to pre-G-LOC levels within approximately 15 s following G-LOC while EEG and performance measures took approximately 60 s.

DISCUSSION

There were two unique EEG waveforms found, one preceding unconsciousness and the other preceding the return to consciousness during G-LOC episodes. Further, the supply of oxygen to the brain was rapidly restored, within approximately 15 s, while the EEG and performance data showed that approximately 60 s were required for the brain to regain functional integrity. The delay in performance and EEG recovery following G-LOC demonstrates that the recovery of brain activity to support cognitive function requires more than just the restoration of normal oxygen levels.