Evidence map›Paper›PMID 28459436›Full record

ArticleNature medicine2017

Silent hippocampal seizures and spikes identified by foramen ovale electrodes in Alzheimer's disease.

Alice D Lam, Gina Deck, Alica Goldman, Emad N Eskandar, Jeffrey Noebels, Andrew J Cole

Registry-linked trialOpen access · greenAbstract readCase Reports
In one paragraph

Article in Nature medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03617497 (Prevalence of Epilepsy and Sleep Wake Disorders in Alzheimer Disease), which is not on this map. Cited by 228 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
228citing papers in PubMed, 2 pooled it
23.3field-weighted citation impact, top 1% 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.

NCT03617497 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Prevalence of Epilepsy and Sleep Wake Disorders in Alzheimer Disease

TypeinterventionalSponsorUniversitaire Ziekenhuizen KU LeuvenRan2020 to 2024Enrolled78ConditionsAlzheimer Disease, Alzheimer Dementia, Epilepsy, Sleep Wake DisordersArmsscalp EEG and polysomnography, scalp EEG with foramen ovale electrodes with polysomnography
3 · Its place in the literature

Who cites it

228 citing papers in PubMed, 2 syntheses or guidelines pooled it, 370 citations in OpenAlex.

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  17. Excitation-inhibition homeostasis in Alzheimer's disease: a selective multiscale review of mechanisms, sex differences, and therapeutic opportunities.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
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168 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Alice D LamMGH Epilepsy Service, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Gina DeckMGH Epilepsy Service, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Alica GoldmanDepartment of Neurology, Baylor College of Medicine, Houston, Texas, USA.
Emad N EskandarDepartment of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Jeffrey NoebelsDepartment of Neurology, Baylor College of Medicine, Houston, Texas, USA.
Andrew J ColeMGH Epilepsy Service, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Baylor College of Medicine · USHarvard University · USMassachusetts General Hospital · US

Funding

Neuroscience Resident Research ProgramR25NS065743 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI CASH, SYDNEY S, WILLIAMS, ZIV · 2009 to 2023
$11.8M
PLASTICITY IN DEVELOPING EPILEPTIC BRAINR01NS029709 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI NOEBELS, JEFFREY · 1991 to 2025
$9.1M
Seizure focus delineation using spontaneous and stimulus evoked EEG featuresK24NS088568 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI CASH, SYDNEY S · 2015 to 2019
$923k
SUDEP Research Alliance: Systems Medicine Core, Application 3 of 7U01NS090362 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI GOLDMAN, ALICA M · 2014 to 2018
$770k
NINDS NIH HHS K24 NS088568NINDS NIH HHS R01 NS029709NINDS NIH HHS R25 NS065743NINDS NIH HHS U01 NS090362
6 · The paper itself

Abstract

We directly assessed mesial temporal activity using intracranial foramen ovale electrodes in two patients with Alzheimer's disease (AD) without a history or EEG evidence of seizures. We detected clinically silent hippocampal seizures and epileptiform spikes during sleep, a period when these abnormalities were most likely to interfere with memory consolidation. The findings in these index cases support a model in which early development of occult hippocampal hyperexcitability may contribute to the pathogenesis of AD.

Indexed as

SleepAgedAlzheimer DiseaseBrainElectrodesElectroencephalographyFemaleForamen OvaleHippocampusHumansMagnetic Resonance ImagingMemory ConsolidationMiddle AgedNeuropsychological TestsPositron-Emission TomographySeizures

Identifiers

PMID28459436
PMCPMC5461182
OpenAlexW2610741017

What OpenQuestion holds

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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.