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. 2020 Jan 10;10(1):42. doi: 10.3390/brainsci10010042

Table 1.

Survey of the different neurophysiological techniques of stimulation to investigate brain function in UWS and MCS.

Technique Availability Ease of Application Analysis Complexity Information on Brain Connectivity Diagnostic Utility
resting state EEG high high moderate-high significant allows differentiating UWS/MCS but not identifying fLIS unless using advanced analyses (dWPLI, graph theoretic network lagged-phase synchronization, network parameters)
short-latency EPs high high low low do not allow clear UWS/MCS differentiation but can be useful concerning prognosis
long-latency EPs (ERPs) high high moderate-high moderate allows differentiating UWS/MCS but not identifying fLIS unless using advanced analyses (lagged-phase synchronization and network parameters following NIBS) or dedicated stimulation approaches (e.g., VMI and AMI)
TMS-EEG low low high significant allows differentiating UWS/MCS and identifying fLIS by using advanced analyses
sleep assessment moderate moderate moderate moderate is more useful concerning prognosis than differential diagnosis, as sleep patterns are significantly related to outcome
pain assessment low-moderate moderate moderate moderate allows differentiating UWS/MCS and identifying fLIS unless assessing the cognitive components of the evoked responses and using advanced analyses (e.g., LEPs single features, GBO, response to TMS)

Legend: AMI, audio-motor integration; dWPLI, directed Weighted Phase Lag Index; EEG, electroencephalogram; EPs, evoked potentials; ERPs, event-related potentials; fLIS, functional Locked-In Syndrome; GBO, gamma-band oscillations; LEPs, laser-evoked potentials; MCS, minimally conscious state; NIBS, non-invasive brain stimulation; TMS, transcranial magnetic stimulation; UWS, unresponsive wakefulness syndrome; VMI, visuo-motor integration.