Spatio-temporal hierarchy of intrinsic-driven ignition is compromised in DOC patients. (A) intrinsic-driven ignition is obtained by identifying “driver events” (unusually high BOLD spontaneous activity; here, an event is defined to occur at a given region when its BOLD signal exhibits a Z-score larger than 1, following previous work (Deco et al., 2017; Deco and Kringelbach, 2017)), and measuring the magnitude of the concomitant activity occurring in the rest of the brain within a short time window (here, 4 TRs, approximately corresponding to the duration of the hemodynamic response function, following previous work (Deco et al., 2017; Deco and Kringelbach, 2017)). By the term “event” we refer to each regional occurrence of threshold-crossing; so if two regions cross the threshold within the same BOLD volume, then two events are occurring. The level of intrinsic-driven ignition is calculated as the size of the resulting largest connected component over a network linking regions that exhibit co-occurring events within the chosen time window. A measure of spatio-temporal hierarchy is obtained by calculating the variability across regions of their average IDI. (B) Violin plots of each subject's spatio-temporal hierarchy by group, showing that UWS patients exhibit diminished hierarchy compared with both healthy controls and MCS patients. Data points represent subjects. White circle, median; centre line, mean; box limits, upper and lower quartiles; whiskers, 1.5x interquartile range. * p < 0.05; ** p < 0.01, FDR-corrected.