Evidence map›Paper›PMID 27001680›Full record

Trial reportCerebral cortex (New York, N.Y. : 1991)2017

The Impact of Mirth-Inducing Ventral Striatal Deep Brain Stimulation on Functional and Effective Connectivity.

William S Gibson, Shinho Cho, Osama A Abulseoud, Krzysztof R Gorny, Joel P Felmlee, Kirk M Welker, Bryan T Klassen, Hoon-Ki Min, Kendall H Lee

Open access · bronzeAbstract readClinical TrialMulticenter StudyVideo-Audio Media
In one paragraph

Trial report in Cerebral cortex (New York, N.Y. : 1991), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.9field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 70 citations in OpenAlex.

  1. Reversible modulation of a deep white matter surgical target for depression with low-intensity focused ultrasound.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Trial
  2. Article
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  5. Therapeutic DBS for OCD Suppresses the Default Mode Network.bioRxiv : the preprint server for biology · 2024
    Article
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  7. Article
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  10. The naturalistic approach to laughter in humans and other animals: towards a unified theory.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2022
    Review
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  18. Review
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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

9 authors at 2 institutions in 1 country.

William S GibsonDepartment of Neurologic Surgery.
Shinho ChoDepartment of Neurologic Surgery.
Osama A AbulseoudDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN 55906, USA.
Krzysztof R GornyDepartment of Radiology.
Joel P FelmleeDepartment of Radiology.
Kirk M WelkerDepartment of Radiology.
Bryan T KlassenDepartment of Neurology and.
Hoon-Ki MinDepartment of Neurologic Surgery.
Kendall H LeeDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN 55905, US.
Mayo Clinic in Florida · USMayo Clinic · US

Funding

WINCS and DBSR01NS070872 · NINDS · MAYO CLINIC ROCHESTER · PI LEE, KENDALL H. · 2011 to 2015
$1.7M
NINDS NIH HHS R01 NS070872
6 · The paper itself

Abstract

Deep brain stimulation (DBS) of the ventral capsule/ventral striatum (VC/VS) is an investigational therapy for treatment-resistant obsessive-compulsive disorder. The ability of VC/VS DBS to evoke spontaneous mirth in patients, often accompanied by smiling and laughter, is clinically well documented. However, the neural correlates of DBS-evoked mirth remain poorly characterized. Patients undergoing VC/VS DBS surgery underwent intraoperative evaluation in which mirth-inducing and non-mirth-inducing stimulation localizations were identified. Using dynamic causal modeling (DCM) for fMRI, the effect of mirth-inducing DBS on functional and effective connectivity among established nodes in limbic cortico-striato-thalamo-cortical (CSTC) circuitry was investigated. Both mirth-inducing and non-mirth-inducing VC/VS DBS consistently resulted (conjunction, global null, family-wise error-corrected P < 0.05) in activation of amygdala, ventral striatum, and mediodorsal thalamus. However, only mirth-inducing DBS resulted in functional inhibition of anterior cingulate cortex. Dynamic causal modeling revealed that mirth-inducing DBS enhanced effective connectivity from anterior cingulate to ventral striatum, while attenuating connectivity from thalamus to ventral striatum relative to non-mirth-inducing stimulation. These results suggest that DBS-evoked mood elevation is accompanied by distinct patterns of limbic thalamocortical connectivity. Using the novel combination of DBS-evoked mood alteration and functional MRI in human subjects, we provide new insights into the network-level mechanisms that influence affect.

Indexed as

Deep Brain StimulationEmotionsAdultAffectBayes TheoremBrainBrain MappingCerebrovascular CirculationFemaleHumansIntraoperative PeriodLaughterMagnetic Resonance ImagingMaleMiddle AgedModels, NeurologicalOxygenDBSfMRImoodnucleus accumbensobsessive compulsive disorder

Identifiers

PMID27001680
PMCPMC5939229
OpenAlexW2311795437

What OpenQuestion holds

Textmetadata
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.