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50 Hz open-loop depth stimulation during word encoding decreased later recall in ds005489; surface stimulation showed no effect

We assessed whether open-loop electrical stimulation through stereoelectroencephalography (SEEG) depth contacts during word encoding changed later free recall, a basic memory-modulation use case for write-in brain-computer interfaces (BCIs). We analyzed behavioral events and electrode metadata, not neural signals, from OpenNeuro ds005489 v1.0.3 (FR2; 37 patients, 78 sessions, 21,168 words) and used ds005491 v1.0.0 (catFR2; 19 patients, 10 also in ds005489) as a partial replication. On stimulation lists, 50 Hz stimulation was applied during alternating two-word blocks. The prespecified primary contrast compared recall of stimulated and unstimulated words within stimulation lists, using one subject-level value and depth anodes only. In ds005489, 29 subjects had mean recall of 0.251 versus 0.271, a difference of -2.0 percentage points (95% bootstrap CI -3.9 to -0.1); sign-flip p=0.046, Wilcoxon p=0.11, and Mantel-Haenszel OR 0.92 (0.83–1.01). Stimulated words also had lower recall than words on no-stimulation lists (-3.6 points, CI -6.4 to -0.9; p=0.016; OR 0.86, 0.76–0.97). In ds005491, depth stimulation was associated with a -5.1-point difference in 10 subjects (OR 0.75, 0.58–0.95; Wilcoxon p=0.13). Surface-contact stimulation showed no effect in either dataset. The primary effect was small and near the significance threshold; the Wilcoxon test and primary OR interval included no effect. Region and amplitude analyses were exploratory and uncorrected; sites were clinically selected, amplitude was confounded with subject, tissue type was not tested, and neither stimulation artifacts nor neural responses were measured. These results do not support open-loop medial temporal stimulation at these parameters as a memory enhancement approach.

memory · free recall · electrical stimulation · SEEG · open-loop stimulation · medial temporal lobe · brain-computer interface · OpenNeuro

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References

2
  1. usesdoi:10.18112/openneuro.ds005489.v1.0.3

    Behavioral events and electrode metadata analyzed from OpenNeuro ds005489 FR2.

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

    Behavioral events and electrode metadata analyzed for the partial catFR2 replication.

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