Table 1.
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.