Evidence map›Paper›PMID 29190362›Full record

ArticleBrain : a journal of neurology2018

A human prefrontal-subthalamic circuit for cognitive control.

Ryan Kelley, Oliver Flouty, Eric B Emmons, Youngcho Kim, Johnathan Kingyon, Jan R Wessel, Hiroyuki Oya, Jeremy D Greenlee, Nandakumar S Narayanan

2 registry-linked trialsOpen access · bronzeAbstract readVideo-Audio Media
In one paragraph

Article in Brain : a journal of neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 77 papers.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed
8.3field-weighted citation impact, top 2% 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.

NCT06899022 narecruitingnot on this mapstarted 2025, after this paper: background citation

Investigating the Role of Attention in Perceptual and Cognitive Consequences of Parkinson's Disease

TypeinterventionalSponsorUniversity of NebraskaRan2025 to 2028Enrolled138ConditionsEssential Tremor, Parkinson&#39, s Disease (PD), DystoniasArmsNormal therapeutic DBS, Reduced current DBS, Reduced frequency DBS
NCT06984757 naenrolling by invitationnot on this map

Mid-frontal Delta/Theta and Cognitive Control

TypeinterventionalSponsorNandakumar NarayananRan2017 to 2029Enrolled635ConditionsParkinson&Amp, Amp, #39, s Disease (PD)ArmsDeep-brain Stimulation, Transcranial Magnetic Stimulation, Transcranial Alternating Current Stimulation
3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 147 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Prefrontal Network Mechanisms of Psychiatric Deep Brain Stimulation.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Frontiers in aging neuroscience · 2025
    Article
  16. Article
  17. Cognition falters at ~4 Hz in Parkinson's disease.Trends in cognitive sciences · 2024
    Article
  18. Article
  19. Evoked mid-frontal activity predicts cognitive dysfunction in Parkinson's disease.Journal of neurology, neurosurgery, and psychiatry · 2023
    Article
  20. Review

17 more citing papers are in PubMed but not listed here.

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 1 institution in 1 country.

Ryan KelleyMedical Scientist Training Program, University of Iowa, Iowa City, IA 52242, USA.
Oliver FloutyDepartment of Neurosurgery, University of Iowa, Iowa City, IA 52242, USA.
Eric B EmmonsProgram in Neuroscience, University of Iowa, Iowa City, IA 52242, USA.
Youngcho KimDepartment of Neurology, University of Iowa, Iowa City, IA 52242, USA.
Johnathan KingyonCarver College of Medicine, University of Iowa, Iowa City, IA 52242, USA.
Jan R WesselDepartment of Neurology, University of Iowa, Iowa City, IA 52242, USA.
Hiroyuki OyaDepartment of Neurosurgery, University of Iowa, Iowa City, IA 52242, USA.
Jeremy D GreenleeDepartment of Neurosurgery, University of Iowa, Iowa City, IA 52242, USA.
Nandakumar S NarayananDepartment of Neurology, University of Iowa, Iowa City, IA 52242, USA.
University of Iowa · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007337 · NIGMS · UNIVERSITY OF IOWA · PI GEYER, PAMELA K., LENTZ, STEVEN R · 1985 to 2020
$15.9M
SHORT-TERM TRAINING: STUDENTS IN HEALTH PROF. SCHOOLST35HL007485 · NHLBI · UNIVERSITY OF IOWA · PI ROGHAIR, ROBERT D · 1985 to 2019
$4.3M
Mid-frontal delta/theta rhythms and cognitive control in PDR01NS100849 · NINDS · UNIVERSITY OF IOWA · PI JAMES F CAVANAGH, Nandakumar Narayanan · 2017 to 2026
$3.6M
Prefrontal D1 signaling and cognitive symptoms of Parkinson's diseaseR01NS089470 · NINDS · UNIVERSITY OF IOWA · PI NARAYANAN, NANDAKUMAR · 2014 to 2018
$1.6M
Prefrontal control of striatal neuronal ensembles during elementary cognition: Implications for schizophreniaF31MH110092 · NIMH · UNIVERSITY OF IOWA · PI EMMONS, ERIC BLOCKHUS · 2016 to 2018
$66k
NHLBI NIH HHS T35 HL007485NIGMS NIH HHS T32 GM007337NIMH NIH HHS F31 MH110092NINDS NIH HHS R01 NS089470NINDS NIH HHS R01 NS100849
6 · The paper itself

Abstract

The subthalamic nucleus is a key site controlling motor function in humans. Deep brain stimulation of the subthalamic nucleus can improve movements in patients with Parkinson's disease; however, for unclear reasons, it can also have cognitive effects. Here, we show that the human subthalamic nucleus is monosynaptically connected with cognitive brain areas such as the prefrontal cortex. Single neurons and field potentials in the subthalamic nucleus are modulated during cognitive processing and are coherent with 4-Hz oscillations in medial prefrontal cortex. These data predict that low-frequency deep brain stimulation may alleviate cognitive deficits in Parkinson's disease patients. In line with this idea, we found that novel 4-Hz deep brain stimulation of the subthalamic nucleus improved cognitive performance. These data support a role for the human hyperdirect pathway in cognitive control, which could have relevance for brain-stimulation therapies aimed at cognitive symptoms of human brain disease.awx300media15660002226001.

Indexed as

Brain MappingCognitionCognition DisordersCuesDeep Brain StimulationElectroencephalographyFemaleHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleNeural PathwaysNeuronsNeuropsychological TestsOxygenParkinson DiseaseOxygencognitive controldeep brain stimulationhyperdirect pathwayParkinson’s diseasesubthalamic nucleus

Identifiers

PMID29190362
PMCPMC5837669
OpenAlexW2769152833

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.