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Modern death requires irreversible loss of brain function. When the brain is starved of blood flow (ischemia) and oxygen (anoxia), the patient faints in a fraction of a minute and his or her electroencephalogram, or EEG, becomes isoelectric—in other words, flat. This implies that large-scale, spatially distributed electrical activity within the cortex, the outermost layer of the brain, has broken down. Like a town that loses power one neighborhood at a time, local regions of the brain go offline one after another. The mind, whose substrate is whichever neurons remain capable of generating electrical activity, does what it always does: it tells a story shaped by the person’s experience, memory and cultural expectations.
Given these power outages, this experience may produce the rather strange and idiosyncratic stories that make up the corpus of NDE reports.