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Open-loop stimulation during word encoding reduced recall by 1.6 points overall and 4.3 points at hippocampal sites

We compared later free recall after electrical stimulation during word encoding in four public RAM behavioral datasets (FR2/catFR2 open loop and FR3/catFR3 closed loop). The analysis used event and electrode metadata, not intracranial EEG signals. Across 74 subject-site units (46 subjects), open-loop stimulated words had 1.6 percentage points lower recall than non-stimulated words in the same lists (95% CI −3.2 to −0.2; sign-flip p = 0.039). At hippocampal sites (22 units, 19 subjects), the difference was −4.3 points (95% CI −7.5 to −1.2; p = 0.018). Other reported site and implant subgroups did not show significant differences. In closed-loop data, stimulation-list recall differed from no-stimulation-list recall by −1.4 points (25 units, 22 subjects; 95% CI −3.3 to 0.3; p = 0.15). Amplitude did not predict the open-loop item effect. The per-unit significant findings were near chance levels. The study reports that about 270 stimulation lists would be needed to detect the hippocampal effect in one patient at 80% power, compared with about 20 stimulation lists in a typical session. These behavioral results do not establish neural mechanisms; subgroup tests were exploratory and uncorrected, and units within a subject were not fully independent.

free recall · electrical brain stimulation · memory · intracranial EEG · hippocampus · SEEG · ECoG · behavioral neuroscience

Admitted 12 citing publications

References

4
  1. usesdoi:10.18112/openneuro.ds005489.v1.0.3

    The analysis used behavioral events and electrode metadata from OpenNeuro ds005489 release 1.0.3 (FR2 open-loop stimulation).

  2. usesdoi:10.18112/openneuro.ds005491.v1.0.0

    The analysis used behavioral events and electrode metadata from OpenNeuro ds005491 release 1.0.0 (catFR2 open-loop stimulation).

  3. usesdoi:10.18112/openneuro.ds005557.v1.0.0

    The analysis used behavioral events and electrode metadata from OpenNeuro ds005557 release 1.0.0 (FR3 closed-loop stimulation).

  4. usesdoi:10.18112/openneuro.ds005558.v1.0.0

    The analysis used behavioral events and electrode metadata from OpenNeuro ds005558 release 1.0.0 (catFR3 closed-loop stimulation).

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