Evidence map›Paper›PMID 38413587›Full record

ArticleNature communications2024

Multi-night cortico-basal recordings reveal mechanisms of NREM slow-wave suppression and spontaneous awakenings in Parkinson's disease.

Md Fahim Anjum, Clay Smyth, Rafael Zuzuárregui, Derk Jan Dijk, Philip A Starr, Timothy Denison, Simon Little

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03582891 (Closed Loop Deep Brain Stimulation in Parkinson's Disease and Dystonia), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
11.4field-weighted citation impact, top 1% 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.

NCT03582891 naactive not recruitingnot on this map

Closed Loop Deep Brain Stimulation in Parkinson's Disease and Dystonia (Activa RC+S)

TypeinterventionalSponsorUniversity of California, San FranciscoRan2018 to 2028Enrolled25ConditionsParkinson Disease, DystoniaArmsSummit RC+S for Motor, 8-week pilot trial of Closed-loop vs. Open-loop Stimulation, Summit RC+S for Sleep
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 31 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. From continuous to adaptive deep brain stimulation: Personalized modulation improves motor complications and sleep in Parkinson's Disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  8. Review
  9. Explainability in AI-enabled medical neurotechnology: a scoping review.Journal of neuroengineering and rehabilitation · 2026
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Sleep dysfunction in aspirin exacerbated respiratory disease: A prospective cohort study.World journal of otorhinolaryngology - head and neck surgery · 2025
    Article
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Md Fahim AnjumMovement Disorders and Neuromodulation Centre, University California San Francisco, San Francisco, CA, USA. fahim.anjum@ucsf.edu.ORCID 0000-0001-7981-4135
Clay SmythMovement Disorders and Neuromodulation Centre, University California San Francisco, San Francisco, CA, USA.
Rafael ZuzuárreguiMovement Disorders and Neuromodulation Centre, University California San Francisco, San Francisco, CA, USA.
Derk Jan DijkSurrey Sleep Research Centre, University of Surrey, Guildford, UK.ORCID 0000-0001-5314-1008
Philip A StarrMovement Disorders and Neuromodulation Centre, University California San Francisco, San Francisco, CA, USA.ORCID 0000-0003-2733-4003
Timothy DenisonMRC Brain Network Dynamics Unit, University of Oxford, Oxford, UK.
Simon LittleMovement Disorders and Neuromodulation Centre, University California San Francisco, San Francisco, CA, USA.ORCID 0000-0001-6249-6230
University of California, San Francisco · USSan Francisco VA Medical Center · USUniversity of Oxford · GBUniversity of Surrey · GB

Funding

Determining the circuits and signals of sleep dysfunction in Parkinson's disease through chronic intracranial recordings and closed-loop Deep Brain StimulationR01NS131405 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Simon Little · 2023 to 2026
$2.6M
NINDS NIH HHS R01 NS131405
6 · The paper itself

Abstract

Sleep disturbance is a prevalent and disabling comorbidity in Parkinson's disease (PD). We performed multi-night (n = 57) at-home intracranial recordings from electrocorticography and subcortical electrodes using sensing-enabled Deep Brain Stimulation (DBS), paired with portable polysomnography in four PD participants and one with cervical dystonia (clinical trial: NCT03582891). Cortico-basal activity in delta increased and in beta decreased during NREM (N2 + N3) versus wakefulness in PD. DBS caused further elevation in cortical delta and decrease in alpha and low-beta compared to DBS OFF state. Our primary outcome demonstrated an inverse interaction between subcortical beta and cortical slow-wave during NREM. Our secondary outcome revealed subcortical beta increases prior to spontaneous awakenings in PD. We classified NREM vs. wakefulness with high accuracy in both traditional (30 s: 92.6 ± 1.7%) and rapid (5 s: 88.3 ± 2.1%) data epochs of intracranial signals. Our findings elucidate sleep neurophysiology and impacts of DBS on sleep in PD informing adaptive DBS for sleep dysfunction.

Indexed as

Parkinson DiseaseSubthalamic NucleusElectrocorticographyHumansPolysomnographySleep

Identifiers

PMID38413587
PMCPMC10899224
OpenAlexW4392200463

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.