In a patient with traumatic intracerebral lesions, we recorded two sub
sequent electroencephalograms with burst-suppression activity. Between
the two measurements, the clinical condition of the patient deteriora
ted. The first EEG showed symmetrical interhemispheric asynchrony of b
ursts. In the second EEG, however, we noted synchrony from one hemisph
ere to the other, but asynchrony in the opposite direction. We propose
a simple model that can explain why one-way asynchrony of burst-suppr
ession activity is prognostically more severe than symmetrical asynchr
ony.