Evidence map›Paper›PMID 28100728›Full record

ArticleNeurology2017

Direct cortical stimulation of human posteromedial cortex.

Brett L Foster, Josef Parvizi

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04748146 (CAUSAL MECHANISMS OF DISTRIBUTED BRAIN NETWORK FUNCTION DURING EPISODIC MEMORY RETRIEVAL), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.2field-weighted citation impact, top 8% 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.

NCT04748146 nawithdrawnnot on this mapstarted 2026, after this paper: background citation

Causal mechanisms of distributed brain network function during episodic memory retrieval

TypeinterventionalSponsorNorthwestern UniversityRan2026 to 2027Enrolled0ConditionsEpisodic MemoryArmsBrain stimulation
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. A tripartite view of the posterior cingulate cortex.Nature reviews. Neuroscience · 2023
    Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Altered sense of self during seizures in the posteromedial cortex.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Visual Organization of the Default Network.Cerebral cortex (New York, N.Y. : 1991) · 2020
    Article
  16. Stimulation of the Posterior Cingulate Cortex Impairs Episodic Memory Encoding.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2019
    Article
  17. Article
  18. Article
  19. Direct Cortical Recordings Suggest Temporal Order of Task-Evoked Responses in Human Dorsal Attention and Default Networks.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2018
    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

2 authors at 1 institution in 1 country.

Brett L FosterFrom the Laboratory of Behavioral and Cognitive Neuroscience (B.L.F., J.P.), Stanford Human Intracranial Cognitive Electrophysiology Program, Stanford University, CA; and Departments of Neurosurgery and Neuroscience (B.L.F.), Baylor College of Medicine, Houston, TX. bfoster@bcm.edu parvizi@stanford.edu.
Josef ParviziFrom the Laboratory of Behavioral and Cognitive Neuroscience (B.L.F., J.P.), Stanford Human Intracranial Cognitive Electrophysiology Program, Stanford University, CA; and Departments of Neurosurgery and Neuroscience (B.L.F.), Baylor College of Medicine, Houston, TX. bfoster@bcm.edu parvizi@stanford.edu.
Baylor College of Medicine · US

Funding

Memory, Attention, and Default Mode Processes in Human Posteromedial CortexR01NS078396 · NINDS · STANFORD UNIVERSITY · PI PARVIZI, JOSEF · 2012 to 2016
$1.7M
Spatiotemporal investigations of parietal cortex contributions to episodic memoryR00MH103479 · NIMH · BAYLOR COLLEGE OF MEDICINE · PI FOSTER, BRETT · 2016 to 2018
$747k
NIMH NIH HHS R00 MH103479NINDS NIH HHS R01 NS078396
6 · The paper itself

Abstract

backgroundThe posteromedial cortex (PMC) is a collective term for an anatomically heterogeneous area of the brain constituting a core node of the human default mode network (DMN), which is engaged during internally focused subjective cognition such as autobiographical memory.

methodsWe explored the effects of causal perturbations of PMC with direct electric brain stimulation (EBS) during presurgical epilepsy monitoring with intracranial EEG electrodes.

resultsData were collected from 885 stimulations in 25 patients implanted with intracranial electrodes across the PMC. While EBS of regions immediately dorsal or ventral to the PMC reliably produced somatomotor or visual effects, respectively, we found no observable behavioral or subjectively reported effects when sites within the boundaries of PMC were electrically perturbed. In each patient, null effects of PMC stimulation were observed for sites in which intracranial recordings had clearly demonstrated electrophysiologic responses during autobiographical recall.

conclusionsDirect electric modulation of the human PMC produced null effects when standard functional mapping methods were used. More sophisticated stimulation paradigms (e.g., EBS during experimental cognitive tests) will be required for testing the causal contribution of PMC to human cognition and subjective experience. Nonetheless, our findings suggest that some extant theories of PMC and DMN contribution to human awareness and subjective conscious states require cautious re-examination.

Indexed as

Brain MappingElectric StimulationElectrocorticographyAdultCerebral CortexConsciousnessDrug Resistant EpilepsyFemaleFunctional LateralityHumansMaleMotor ActivityNeurophysiological MonitoringPreoperative PeriodTouch PerceptionVisual Perception

Identifiers

PMID28100728
PMCPMC5317378
OpenAlexW2574171202

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.