Evidence map›Paper›PMID 34841286›Full record

ArticleCell reports. Medicine2021

Auditory stimulation during sleep suppresses spike activity in benign epilepsy with centrotemporal spikes.

Jens G Klinzing, Lilian Tashiro, Susanne Ruf, Markus Wolff, Jan Born, Hong-Viet V Ngo

Open access · goldAbstract read
In one paragraph

Article in Cell reports. Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

14 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Article
  3. Auditory-evoked changes in slow oscillations and spindles correlate with memory consolidation in children with epilepsy and controls.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Jens G KlinzingInstitute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, 72076 Tübingen, Germany.
Lilian TashiroInstitute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, 72076 Tübingen, Germany.
Susanne RufUniversity Children's Hospital Tübingen, 72076 Tübingen, Germany.
Markus WolffDepartment of Pediatric Neurology, Vivantes Hospital Neukölln, 12351 Berlin, Germany.
Jan BornInstitute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, 72076 Tübingen, Germany.
Hong-Viet V NgoInstitute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, 72076 Tübingen, Germany.
University of Tübingen · DEPrinceton University · USUniversity Children's Hospital Tübingen · DEVivantes Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Benign epilepsy with centrotemporal spikes (BECTS) is a common form of childhood epilepsy linked to diverse cognitive abnormalities. The electroencephalogram of patients shows focal interictal epileptic spikes, particularly during non-rapid eye movement (NonREM) sleep. Spike formation involves thalamocortical networks, which also contribute to the generation of sleep slow oscillations (SOs) and spindles. Motivated by evidence that SO-spindle activity can be controlled through closed-loop auditory stimulation, here, we show in seven patients that auditory stimulation also reduces spike rates in BECTS. Stimulation during NonREM sleep decreases spike rates, with most robust reductions when tones are presented 1.5 to 3.5 s after spikes. Stimulation further reduces the amplitude of spikes closely following tones. Sleep spindles are negatively correlated with spike rates, suggesting that tone-evoked spindle activity mediates the spike suppression. We hypothesize spindle-related refractoriness in thalamocortical circuits as a potential mechanism. Our results open an avenue for the non-pharmacological treatment of BECTS.

Indexed as

Acoustic StimulationAction PotentialsCase-Control StudiesChildEpilepsy, RolandicFemaleHumansMaleNeuronsSleepauditory stimulationBECTSrolandic epilepsysleepsleep spindlesspikes

Identifiers

PMID34841286
PMCPMC8606903
OpenAlexW3210291412

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.