Evidence map›Paper›PMID 33480187›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2021

Brain structures and networks responsible for stimulation-induced memory flashbacks during forniceal deep brain stimulation for Alzheimer's disease.

Jürgen Germann, Gavin J B Elias, Alexandre Boutet, Keshav Narang, Clemens Neudorfer, Andreas Horn, Aaron Loh, Wissam Deeb, Bryan Salvato, Leonardo Almeida and 12 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01608061 (A Twelve Month Double-blind Randomized Controlled Feasibility Study to Evaluate the Safety, Efficacy and Tolerability of Deep Brain Stimulation of the Fornix), which is not on this map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 6% 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.

NCT01608061 nacompletednot on this map

A Twelve Month Double-blind Randomized Controlled Feasibility Study to Evaluate the Safety, Efficacy and Tolerability of Deep Brain Stimulation of the Fornix (DBS-f) in Patients With Mild Probable Alzheimer's Disease

TypeinterventionalSponsorFunctional Neuromodulation LtdRan2012 to 2018Enrolled42ConditionsAlzheimer DiseaseArmsDBS-f on, DBS-f off
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. An updated overview of recent and ongoing deep brain stimulation (DBS) trials in patients with dementia: a systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Biomarker changes associated with fornix deep brain stimulation in Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Computational Neurosurgery in Deep Brain Stimulation.Advances in experimental medicine and biology · 2024
    Review
  11. Brain stimulation and elicited memories.Acta neurochirurgica · 2023
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  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

22 authors at 13 institutions in 3 countries.

Jürgen GermannDivision of Neurosurgery, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Canada.
Gavin J B EliasDivision of Neurosurgery, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Canada.
Alexandre BoutetDivision of Neurosurgery, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Canada.
Keshav NarangDivision of Neurosurgery, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Canada.
Clemens NeudorferDivision of Neurosurgery, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Canada.
Andreas HornMovement Disorders & Neuromodulation Unit, Department for Neurology, Charité - University Medicine Berlin, Berlin, Germany.
Aaron LohDivision of Neurosurgery, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Canada.
Wissam DeebNorman Fixel Institute for Neurological Diseases, Departments of Neurology and Neurosurgery, University of Florida Health, USA.
Bryan SalvatoFlorida State University, USA.
Leonardo AlmeidaNorman Fixel Institute for Neurological Diseases, Departments of Neurology and Neurosurgery, University of Florida Health, USA.
Kelly D FooteNorman Fixel Institute for Neurological Diseases, Departments of Neurology and Neurosurgery, University of Florida Health, USA.
Paul B RosenbergDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, USA.
David F Tang-WaiDepartment of Neurology, Toronto Western Hospital, University Health Network, University of Toronto, Canada.
David A WolkUniversity of Pennsylvania, USA.
Anna D BurkeDepartment of Neurology, Barrow Neurological Institute, Phoenix, USA.
Stephen SallowayDepartment of Psychiatry and Human Behavior and Neurology, Alpert Medical School of Brown University, USA.
Marwan N SabbaghCleveland Clinic Lou Ruvo Center for Brain Health, USA.
M Mallar ChakravartyDouglas Mental Health University Research Institute, Canada.
Gwenn S SmithDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, USA.
Constantine G LyketsosDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, USA.
Michael S OkunNorman Fixel Institute for Neurological Diseases, Departments of Neurology and Neurosurgery, University of Florida Health, USA.
Andres M LozanoDivision of Neurosurgery, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Canada.
University Health Network · CAUniversity of Florida Health · USJohns Hopkins Medicine · USToronto Western Hospital · CABarrow Neurological Institute · USBrown University · USCalifornia University of Pennsylvania · USCharité - Universitätsmedizin Berlin · DEDouglas Mental Health University Institute · CAFlorida State University · USJohns Hopkins University · USLou Ruvo Brain Institute · USUniversity of Toronto · CA

Funding

Research Education ComponentP30AG066507 · NIA · JOHNS HOPKINS UNIVERSITY · PI MARILYN S. ALBERT · 2020 to 2026
$29.3M
NIA NIH HHS P30 AG066507
6 · The paper itself

Abstract

introductionFornix deep brain stimulation (fx-DBS) is under investigation for treatment of Alzheimer's disease (AD). We investigated the anatomic correlates of flashback phenomena that were reported previously during acute diencephalic stimulation.

methodsThirty-nine patients with mild AD who took part in a prior fx-DBS trial (NCT01608061) were studied. After localizing patients' implanted electrodes and modeling the volume of tissue activated (VTA) by DBS during systematic stimulation testing, we performed (1) voxel-wise VTA mapping to identify flashback-associated zones; (2) machine learning-based prediction of flashback occurrence given VTA overlap with specific structures; (3) normative functional connectomics to define flashback-associated brain-wide networks.

resultsA distinct diencephalic region was associated with greater flashback likelihood. Fornix, bed nucleus of stria terminalis, and anterior commissure involvement predicted memory events with 72% accuracy. Flashback-inducing stimulation exhibited greater functional connectivity to a network of memory-evoking and autobiographical memory-related sites. DISCUSSION: These results clarify the neuroanatomical substrates of stimulation-evoked flashbacks.

Indexed as

Deep Brain StimulationFornix, BrainAgedAlzheimer DiseaseBrainFemaleHumansMachine LearningMagnetic Resonance ImagingMaleMemoryAlzheimer's diseasebrain connectivitydeep brain stimulationfornixmagnetic resonance imagingmemory

Identifiers

PMID33480187
PMCPMC8247976
OpenAlexW3126141628

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.