That hyperconscious state that some have during cardiac arrest that is called 
'near death experience' may simply be a feature of the activity of a dying 
brain. This is the first direct scientific evidence of brain activity during 
cardiac arrest in a mammalian brain. Once the brain actually does die, there is 
no activity. Prior to this study, figuring out at what point in a near death 
experience the experience actually occurred was a matter of conjecture. Now we 
have some evidence of what is happening in a brain during the process of dying. 
At the moment this has to be extrapolated to humans, but it is a good starting 
point.

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SURGE OF NEUROPHYSIOLOGICAL COHERENCE AND CONNECTIVITY IN THE DYING BRAIN

Jimo Borjigina,b,c, UnCheol Leed,, Tiecheng Liua, Dinesh Pald, Sean Huffa, 
Daniel Klarrd, Jennifer Slobodaa, Jason Hernandeza, Michael M. Wanga,b,c,e, and 
George A. Mashourc,d 

Author Affiliations

Departments of 
a Molecular and Integrative Physiology, 
b Neurology, and 
d Anesthesiology, and 
c Neuroscience Graduate Program

University of Michigan
Ann Arbor, MI 48109

eVeterans Administration
Ann Arbor, MI 48105

Edited by Solomon H. Snyder, The Johns Hopkins University School of Medicine, 
Baltimore, MD, and approved July 9, 2013 (received for review May 2, 2013)

ABSTRACT

The brain is assumed to be hypoactive during cardiac arrest. However, the 
neurophysiological state of the brain immediately following cardiac arrest has 
not been systematically investigated. In this study, we performed continuous 
electroencephalography in rats undergoing experimental cardiac arrest and 
analyzed changes in power density, coherence, directed connectivity, and 
cross-frequency coupling. We identified a transient surge of synchronous gamma 
oscillations that occurred within the first 30 s after cardiac arrest and 
preceded isoelectric electroencephalogram. Gamma oscillations during cardiac 
arrest were global and highly coherent; moreover, this frequency band exhibited 
a striking increase in anterior–posterior-directed connectivity and tight 
phase-coupling to both theta and alpha waves. High-frequency neurophysiological 
activity in the near-death state exceeded levels found during the conscious 
waking state. These data demonstrate that the mammalian brain can, albeit 
paradoxically, generate neural correlates of heightened conscious processing at 
near-death.

http://www.pnas.org/content/early/2013/08/08/1308285110.abstract

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