Microsleep is associated with brain activity patterns unperturbed by auditory inputs.

Microsleeps are brief episodes of arousal level decrease manifested through behavioral signs. Brain activity during microsleep in the presence of external stimulus remains poorly understood. In this study, we sought to understand neural responses to auditory stimulation during microsleep. We gave participants the simple task of listening to audios of different pitches and amplitude modulation frequencies during early afternoon functional MRI scans. We found the following: 1) microsleep was associated with cortical activations in broad motor and sensory regions and deactivations in thalamus, irrespective of auditory stimulation; 2) high and low pitch audios elicited different activity patterns in the auditory cortex during awake but not microsleep state; and 3) during microsleep, spatial activity patterns in broad brain regions were similar regardless of the presence or types of auditory stimulus (i.e., stimulus invariant). These findings show that the brain is highly active during microsleep but the activity patterns across broad regions are unperturbed by auditory inputs.NEW & NOTEWORTHY During deep drowsy states, auditory inputs could induce activations in the auditory cortex, but the activation patterns lose differentiation to high/low pitch stimuli. Instead of random activations, activity patterns across the brain during microsleep appear to be structured and may reflect underlying neurophysiological processes that remain unclear.

Seeing the sound after visual loss: functional MRI in acquired auditory-visual synesthesia.

Acquired auditory-visual synesthesia (AVS) is a rare neurological sign, in which specific auditory stimulation triggers visual experience. In this study, we used event-related fMRI to explore the brain regions correlated with acquired monocular sound-induced phosphenes, which occurred 2 months after unilateral visual loss due to an ischemic optic neuropathy. During the fMRI session, 1-s pure tones at various pitches were presented to the patient, who was asked to report occurrence of sound-induced phosphenes by pressing one of the two buttons (yes/no). The brain activation during phosphene-experienced trials was contrasted with non-phosphene trials and compared to results obtained in one healthy control subject who underwent the same fMRI protocol. Our results suggest, for the first time, that acquired AVS occurring after visual impairment is associated with bilateral activation of primary and secondary visual cortex, possibly due to cross-wiring between auditory and visual sensory modalities.