Evidence map›Paper›PMID 29915200›Full record

ArticleTranslational psychiatry2018

Subthalamic theta activity: a novel human subcortical biomarker for obsessive compulsive disorder.

Pnina Rappel, Odeya Marmor, Atira S Bick, David Arkadir, Eduard Linetsky, Anna Castrioto, Idit Tamir, Sara A Freedman, Tomer Mevorach, Moran Gilad and 3 more

Abstract read
In one paragraph

Article in Translational psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

40 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Local Field Aperiodic Spectral Power Modulated by Deep Brain Stimulation in Parkinson's Disease.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  5. Review
  6. Review
  7. Review
  8. A Multi-Symptom Circuit Architecture of Obsessive-Compulsive Disorder.medRxiv : the preprint server for health sciences · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Subthalamic Nucleus Stimulation-Induced Local Field Potential Changes in Dystonia.Movement disorders : official journal of the Movement Disorder Society · 2023
    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

13 authors.

Pnina RappelDepartment of Medical Neurobiology (Physiology), Institute of Medical Research - Israel-Canada, the Hebrew University-Hadassah Medical School, Jerusalem, Israel.
Odeya MarmorDepartment of Medical Neurobiology (Physiology), Institute of Medical Research - Israel-Canada, the Hebrew University-Hadassah Medical School, Jerusalem, Israel.
Atira S BickDepartment of Medical Neurobiology (Physiology), Institute of Medical Research - Israel-Canada, the Hebrew University-Hadassah Medical School, Jerusalem, Israel.
David ArkadirThe Brain Division, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Eduard LinetskyThe Brain Division, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Anna CastriotoGrenoble Institute of Neuroscience, Grenoble, France.
Idit TamirThe Brain Division, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Sara A FreedmanThe Brain Division, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Tomer MevorachThe Brain Division, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Moran GiladThe Brain Division, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Hagai BergmanDepartment of Medical Neurobiology (Physiology), Institute of Medical Research - Israel-Canada, the Hebrew University-Hadassah Medical School, Jerusalem, Israel.ORCID http://orcid.org/0000-0002-2402-6673
Zvi IsraelThe Brain Division, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Renana EitanDepartment of Medical Neurobiology (Physiology), Institute of Medical Research - Israel-Canada, the Hebrew University-Hadassah Medical School, Jerusalem, Israel. REITAN@partners.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obsessive-compulsive disorder (OCD) is a common and serious psychiatric disorder. Although subthalamic nucleus deep brain stimulation (DBS) has been studied as a treatment for OCD patients the underlying mechanism of this treatment and the optimal method of stimulation are unknown. To study the neural basis of subthalamic nucleus DBS in OCD patients we used a novel, implantable DBS system with long-term local field potential sensing capability. We focus our analysis on two patients with OCD who experienced severe treatment-resistant symptoms and were implanted with subthalamic nucleus DBS systems. We studied them for a year at rest and during provocation of OCD symptoms (46 recording sessions) and compared them to four Parkinson's disease (PD) patients implanted with subthalamic nucleus DBS systems (69 recording sessions). We show that the dorsal (motor) area of the subthalamic nucleus in OCD patients displays a beta (25-35 Hz) oscillatory activity similar to PD patients whereas the ventral (limbic-cognitive) area of the subthalamic nucleus displays distinct theta (6.5-8 Hz) oscillatory activity only in OCD patients. The subthalamic nucleus theta oscillatory activity decreases with provocation of OCD symptoms and is inversely correlated with symptoms severity over time. We conclude that beta oscillations at the dorsal subthalamic nucleus in OCD patients challenge their pathophysiologic association with movement disorders. Furthermore, theta oscillations at the ventral subthalamic nucleus in OCD patients suggest a new physiological target for OCD therapy as well as a promising input signal for future emotional-cognitive closed-loop DBS.

Indexed as

Theta RhythmAdultAgedDeep Brain StimulationElectrophysiological PhenomenaFemaleHumansMaleMiddle AgedNeuropsychological TestsObsessive-Compulsive DisorderSubthalamic NucleusTreatment Outcome

Identifiers

PMID29915200
PMCPMC6006433

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Registered trials

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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.