Evidence map›Paper›PMID 18337272›Full record

Trial reportBrain : a journal of neurology2008

Short-term variations in response distribution to cortical stimulation.

Ronald P Lesser, Hyang Woon Lee, W R S Webber, Barry Prince, Nathan E Crone, Diana L Miglioretti

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Brain : a journal of neurology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
1.9field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 68 citations in OpenAlex.

  1. Article
  2. Article
  3. The Physics and Physiology of Electrical Stimulation of the Brain.Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society · 2025
    Article
  4. Can electrical stimulation replace spontaneous seizures in epilepsy surgery?medRxiv : the preprint server for health sciences · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Dynamic mechanisms underlying afterdischarge: a human subdural recording study.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2014
    Article
  16. Article
  17. Subdural electrodes.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2010
    Review
  18. Review
  19. When is electrical cortical stimulation more likely to produce afterdischarges?Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2010
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Ronald P LesserDepartment of Neurology, Johns Hopkins Uiversity, Baltimore, MD 21287-7247, USA. rl@jhmi.edu
Hyang Woon Lee
W R S Webber
Barry Prince
Nathan E Crone
Diana L Miglioretti
Johns Hopkins University · USUniversity of Washington · US

Funding

Electrocorticographic studies of human cortical functionR01NS040596 · NINDS · JOHNS HOPKINS UNIVERSITY · PI CRONE, NATHAN E · 2001 to 2014
$6.7M
NINDS NIH HHS R01 NS040596NINDS NIH HHS R01NS40596
6 · The paper itself

Abstract

Patterns of responses in the cerebral cortex can vary, and are influenced by pre-existing cortical function, but it is not known how rapidly these variations can occur in humans. We investigated how rapidly response patterns to electrical stimulation can vary in intact human brain. We also investigated whether the type of functional change occurring at a given location with stimulation would help predict the distribution of responses elsewhere over the cortex to stimulation at that given location. We did this by studying cortical afterdischarges following electrical stimulation of the cortex in awake humans undergoing evaluations for brain surgery. Response occurrence and location could change within seconds, both nearby to and distant from stimulation sites. Responses might occur at a given location during one trial but not the next. They could occur at electrodes adjacent or not adjacent to those directly stimulated or to other electrodes showing afterdischarges. The likelihood of an afterdischarge at an individual site after stimulation was predicted by spontaneous electroencephalographic activity at that specific site just prior to stimulation, but not by overall cortical activity. When stimulation at a site interrupted motor, sensory or language function, afterdischarges were more likely to occur at other sites where stimulation interrupted similar functions. These results show that widespread dynamic changes in cortical responses can occur in intact cortex within short periods of time, and that the distribution of these responses depends on local brain states and functional brain architecture at the time of stimulation. Similar rapid variations may occur during normal intracortical communication and may underlie changes in the cortical organization of function. Possibly these variations, and the occurrence and distribution of responses to cortical stimulation, could be predicted. If so, interventions such as stimulation might be used to alter spread of epileptogenic activity, accelerate learning or enhance cortical reorganization after brain injury.

Indexed as

AdolescentAdultCerebral CortexChildChild, PreschoolElectric StimulationElectroencephalographyFemaleHumansLanguageMaleMiddle AgedMotor NeuronsNeural PathwaysNeurons, AfferentReaction Time

Identifiers

PMID18337272
PMCPMC2408939
OpenAlexW1975490230

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.