Evidence map›Paper›PMID 34486107›Full record

ArticleEpilepsia2021

Features of intracranial interictal epileptiform discharges associated with memory encoding.

Robert J Quon, Edward J Camp, Stephen Meisenhelter, Yinchen Song, Sarah A Steimel, Markus E Testorf, Angeline S Andrew, Robert E Gross, Bradley C Lega, Michael R Sperling and 2 more

Abstract read
In one paragraph

Article in Epilepsia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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
  4. Article
  5. Review
  6. Article
  7. Hippocampal Theta and Episodic Memory.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2023
    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

12 authors.

Robert J QuonDepartment of Neurology, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA.ORCID 0000-0002-9926-1539
Edward J CampDepartment of Neurology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.ORCID 0000-0002-7733-9999
Stephen MeisenhelterDepartment of Neurology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.ORCID 0000-0001-7603-2090
Yinchen SongDepartment of Neurology, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA.ORCID 0000-0001-5820-0353
Sarah A SteimelDepartment of Neurology, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA.ORCID 0000-0003-4121-4964
Markus E TestorfDepartment of Neurology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Angeline S AndrewDepartment of Neurology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Robert E GrossDepartment of Neurosurgery, Emory University, Atlanta, Georgia, USA.
Bradley C LegaDepartment of Neurosurgery, University of Texas Southwestern, Dallas, Texas, USA.
Michael R SperlingDepartment of Neurology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-0708-6006
Michael J KahanaDepartment of Psychology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Barbara C JobstDepartment of Neurology, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA.ORCID 0000-0001-9243-2238

Funding

Quantitative Biomedical Sciences at DartmouthT32LM012204 · NLM · DARTMOUTH COLLEGE · PI TOSTESON, TOR D · 2016 to 2020
$876k
NLM NIH HHS T32 LM012204
6 · The paper itself

Abstract

objectiveInterictal epileptiform discharges (IEDs) were shown to be associated with cognitive impairment in persons with epilepsy. Previous studies indicated that IED rate, location, timing, and spatial relation to the seizure onset zone could predict an IED's impact on memory encoding and retrieval if they occurred in lateral temporal, mesial temporal, or parietal regions. In this study, we explore the influence that other IED properties (e.g., amplitude, duration, white matter classification) have on memory performance. We were specifically interested in investigating the influence that lateral temporal IEDs have on memory encoding.

methodsTwo hundred sixty-one subjects with medication-refractory epilepsy undergoing intracranial electroencephalographic monitoring performed multiple sessions of a delayed free-recall task (n = 671). Generalized linear mixed models were utilized to examine the relationship between IED properties and memory performance.

resultsWe found that increased IED rate, IEDs propagating in white matter, and IEDs localized to the left middle temporal region were associated with poorer memory performance. For lateral temporal IEDs, we observed a significant interaction between IED white matter categorization and amplitude, where IEDs with an increased amplitude and white matter propagation were associated with reduced memory performance. Additionally, changes in alpha power after an IED showed a significant positive correlation with memory performance. SIGNIFICANCE: Our results suggest that IED properties may be useful for predicting the impact an IED has on memory encoding. We provide an essential step toward understanding pathological versus potentially beneficial interictal epileptiform activity.

Indexed as

Drug Resistant EpilepsyEpilepsyElectroencephalographyHumansMemory DisordersSeizurescognitionepilepsyinterictal epileptiform dischargesintracranial monitoringmemory

Identifiers

PMID34486107
PMCPMC8563407

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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.