Evidence map›Paper›PMID 33889945›Full record

ArticleBrain : a journal of neurology2021

Spatiotemporal dynamics between interictal epileptiform discharges and ripples during associative memory processing.

Simon Henin, Anita Shankar, Helen Borges, Adeen Flinker, Werner Doyle, Daniel Friedman, Orrin Devinsky, György Buzsáki, Anli Liu

Open access · bronzeAbstract read
In one paragraph

Article in Brain : a journal of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
5.2field-weighted citation impact, top 3% 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.

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, 68 citations in OpenAlex.

  1. Article
  2. Article
  3. Arousal state modulates human hippocampal ripples.bioRxiv : the preprint server for biology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Behavioral Timing of Interictal Spikes, But Not Rate, Correlates with Impaired Working Memory Performance.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
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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.

Simon HeninNYU Langone Health, Department of Neurology, New York, NY 10017, USA.ORCID 0000-0003-0997-3266
Anita ShankarNYU Langone Health, Department of Neurology, New York, NY 10017, USA.ORCID 0000-0002-6808-6811
Helen BorgesNYU Langone Health, Department of Neurology, New York, NY 10017, USA.
Adeen FlinkerNYU Langone Health, Department of Neurology, New York, NY 10017, USA.
Werner DoyleNYU Langone Health, Comprehensive Epilepsy Center, New York, NY 10016, USA.
Daniel FriedmanNYU Langone Health, Department of Neurology, New York, NY 10017, USA.
Orrin DevinskyNYU Langone Health, Department of Neurology, New York, NY 10017, USA.
György BuzsákiNYU Langone Health, Department of Neurology, New York, NY 10017, USA.
Anli LiuNYU Langone Health, Department of Neurology, New York, NY 10017, USA.ORCID 0000-0002-1118-981X
Neurosciences Institute · US

Funding

Neurophysiology of Human Cortical EpilepsyR01NS062092 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI CASH, SYDNEY S · 2010 to 2021
$4.7M
Development and validation of empirical models of the neuronal population activity underlying non-invasive human brain measurementsR01MH111417 · NIMH · UNIVERSITY MEDICAL CENTER UTRECHT · PI DEVINSKY, ORRIN, DIJKHUIZEN, RICK M · 2016 to 2020
$4.4M
Brain rhythms-assisted memory enhancementR01MH107396 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BUZSAKI, GYORGY, DEVINSKY, ORRIN · 2015 to 2019
$3.3M
Transformation of Neuronal Activity in the Entorhinal-hippocampal-neocortex PathR01MH122391 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BASU, JAYEETA, BUZSAKI, GYORGY · 2020 to 2024
$3.3M
NeuroGrid: a scalable system for large-scale recording of action potentials from the brain surfaceU01NS099705 · NINDS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BUZSAKI, GYORGY, DEVINSKY, ORRIN · 2016 to 2018
$3.0M
The Neuronal Underpinnings of Non-invasive Laminar fMRIRF1MH116978 · NIMH · UNIVERSITY OF MINNESOTA · PI DEVINSKY, ORRIN, YACOUB, ESSA · 2018 to 2018
$2.9M
Spatiotemporal Organization of the Inferior Frontal Gyrus During Speech Production - Resubmission - 1R01NS109367 · NINDS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI FLINKER, ADEEN · 2019 to 2023
$2.8M
Towards a Complete Description of the Circuitry Underlying Memory replay.U01NS090583 · NINDS · UNIVERSITY OF CALIFORNIA-IRVINE · PI SOLTESZ, IVAN · 2014 to 2016
$2.1M
The Neuropathology of SUDEP : The central autonomic network, Serotonin and adenosineU01NS090415 · NINDS · UNIVERSITY COLLEGE LONDON · PI BOLDRINI, MAURA, DEVINSKY, ORRIN · 2014 to 2018
$2.0M
Mechanisms of disrupted memory encoding in epilepsy patients - Resubmission - 1K23NS104252 · NINDS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI LIU, ANLI A · 2018 to 2022
$1.0M
Investigating the neural mechanisms of theory of mind using human electrocorticographyR21MH122829 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI FLINKER, ADEEN, FREIWALD, WINRICH · 2020 to 2020
$484k
NIMH NIH HHS R01 MH107396NIMH NIH HHS R01 MH111417NIMH NIH HHS R01 MH122391NIMH NIH HHS R21 MH122829NIMH NIH HHS RF1 MH116978NINDS NIH HHS K23 NS104252NINDS NIH HHS R01 NS062092NINDS NIH HHS R01 NS109367NINDS NIH HHS U01 NS090415NINDS NIH HHS U01 NS090583NINDS NIH HHS U01 NS099705
6 · The paper itself

Abstract

We describe the spatiotemporal course of cortical high-gamma activity, hippocampal ripple activity and interictal epileptiform discharges during an associative memory task in 15 epilepsy patients undergoing invasive EEG. Successful encoding trials manifested significantly greater high-gamma activity in hippocampus and frontal regions. Successful cued recall trials manifested sustained high-gamma activity in hippocampus compared to failed responses. Hippocampal ripple rates were greater during successful encoding and retrieval trials. Interictal epileptiform discharges during encoding were associated with 15% decreased odds of remembering in hippocampus (95% confidence interval 6-23%). Hippocampal interictal epileptiform discharges during retrieval predicted 25% decreased odds of remembering (15-33%). Odds of remembering were reduced by 25-52% if interictal epileptiform discharges occurred during the 500-2000 ms window of encoding or by 41% during retrieval. During encoding and retrieval, hippocampal interictal epileptiform discharges were followed by a transient decrease in ripple rate. We hypothesize that interictal epileptiform discharges impair associative memory in a regionally and temporally specific manner by decreasing physiological hippocampal ripples necessary for effective encoding and recall. Because dynamic memory impairment arises from pathological interictal epileptiform discharge events competing with physiological ripples, interictal epileptiform discharges represent a promising therapeutic target for memory remediation in patients with epilepsy.

Indexed as

AdolescentAdultElectrocorticographyEpilepsyFemaleHippocampusHumansMaleMemory DisordersMental RecallMiddle AgedYoung Adultepilepsyepileptiform dischargesgamma oscillationsinterictal spikesintracranial EEG

Identifiers

PMID33889945
PMCPMC8219352
OpenAlexW3155076234

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.