Evidence map›Paper›PMID 36993248›Full record

ArticlemedRxiv : the preprint server for health sciences2023

Multisensory Flicker Modulates Widespread Brain Networks and Reduces Interictal Epileptiform Discharges in Humans.

Lou T Blanpain, Emily Chen, James Park, Michael Y Walelign, Robert E Gross, Brian T Cabaniss, Jon T Willie, Annabelle C Singer

Registry-linked trialOpen access · greenAbstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04188834 (Neurophysiological and Behavioral Effects of Sensory Flicker and Electrical Flicker Stimulation), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT04188834 nacompletednot on this map

Neurophysiological and Behavioral Effects of Sensory Flicker and Electrical Flicker Stimulation

TypeinterventionalSponsorEmory UniversityRan2020 to 2022Enrolled23ConditionsBrain DiseasesArmsCustomized version of DAVID device, Blackrock CereStim
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Lou T BlanpainDepartment of Neurosurgery, Emory University School of Medicine, Atlanta, GA, USA.
Emily ChenDepartment of Neurosurgery, Emory University School of Medicine, Atlanta, GA, USA.
James ParkDepartment of Neurosurgery, Emory University School of Medicine, Atlanta, GA, USA.
Michael Y WalelignDepartment of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA, USA.
Robert E GrossDepartment of Neurosurgery, Emory University School of Medicine, Atlanta, GA, USA.
Brian T CabanissDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Jon T WillieDepartment of Neurosurgery, Washington University, St. Louis, MO, USA.
Annabelle C SingerNeuroscience Graduate Program, Graduate Division of Biological and Biomedical Sciences, Emory University, Atlanta, GA, USA.
Emory University · USGeorgia Institute of Technology · USWashington University in St. Louis · US

Funding

Training and DisseminationP41EB018783 · NIBIB · WADSWORTH CENTER · PI Theresa M. Vaughan · 2014 to 2026
$15.4M
Using Direct Brain Stimulation to Study Cognitive ElectrophysiologyU01NS113198 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI KAHANA, MICHAEL JACOB · 2019 to 2023
$6.9M
Non-Invasive Methods to Drive Neural Activity with Millisecond Precision and to Recruit the Brain’s Immune CellsR01NS109226 · NINDS · GEORGIA INSTITUTE OF TECHNOLOGY · PI Annabelle Catherine Singer · 2018 to 2026
$2.7M
Gamma Sensory Flicker as an Early Intervention for Alzheimer’s Disease: Mechanisms and Protective EffectsRF1NS109226 · NINDS · GEORGIA INSTITUTE OF TECHNOLOGY · PI SINGER, ANNABELLE CATHERINE · 2023 to 2024
$2.2M
Training in Computational Neural EngineeringT32EB025816 · NIBIB · GEORGIA INSTITUTE OF TECHNOLOGY · PI Michael Robert Borich, Christopher John Rozell · 2019 to 2026
$1.9M
Mechanisms of Amygdala-Mediated Memory Enhancement in HumansR01MH120194 · NIMH · WASHINGTON UNIVERSITY · PI WILLIE, JON TIMOTHY · 2020 to 2024
$1.8M
Dynamics and Causal Functions of Large-Scale Cortical and Subcortical NetworksU01NS108916 · NINDS · WADSWORTH CENTER · PI WOLPAW, JONATHAN RICKEL · 2018 to 2019
$1.4M
NIBIB NIH HHS P41 EB018783NIBIB NIH HHS T32 EB025816NIMH NIH HHS R01 MH120194NINDS NIH HHS R01 NS109226NINDS NIH HHS RF1 NS109226NINDS NIH HHS U01 NS108916NINDS NIH HHS U01 NS113198
6 · The paper itself

Abstract

Modulating brain oscillations has strong therapeutic potential. However, commonly used non-invasive interventions such as transcranial magnetic or direct current stimulation have limited effects on deeper cortical structures like the medial temporal lobe. Repetitive audio-visual stimulation, or sensory flicker, modulates such structures in mice but little is known about its effects in humans. Using high spatiotemporal resolution, we mapped and quantified the neurophysiological effects of sensory flicker in human subjects undergoing presurgical intracranial seizure monitoring. We found that flicker modulates both local field potential and single neurons in higher cognitive regions, including the medial temporal lobe and prefrontal cortex, and that local field potential modulation is likely mediated via resonance of involved circuits. We then assessed how flicker affects pathological neural activity, specifically interictal epileptiform discharges, a biomarker of epilepsy also implicated in Alzheimer's and other diseases. In our patient population with focal seizure onsets, sensory flicker decreased the rate interictal epileptiform discharges. Our findings support the use of sensory flicker to modulate deeper cortical structures and mitigate pathological activity in humans.

Indexed as

brain oscillationsentrainmentFlickerhuman intracranial electrophysiologyresonancesteady-state evoked potential

Identifiers

PMID36993248
PMCPMC10055448
OpenAlexW4327862328

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.