Not a doctor here. But the fatal insomnia has my interest.
As others have commented. The brain never reaches its resting state.
Anesthesia, very simply put is turning off the monitor and leaving the computer running instead of putting the whole thing in to sleep mode.
The brain never gets to do its routine of flushing waste out and “defragmenting” its harddrive.
Thus the brain tissue slowly degrades and dies
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