Evidence map›Paper›PMID 38605017›Full record

Trial reportNature communications2024

Multisensory flicker modulates widespread brain networks and reduces interictal epileptiform discharges.

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

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report 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 NCT04188834 (Neurophysiological and Behavioral Effects of Sensory Flicker and Electrical Flicker Stimulation), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
10.6field-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.

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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Rhythmic stimulation elicits multiple, concurrent neural responses.Cerebral cortex (New York, N.Y. : 1991) · 2026
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  11. Rough is salient: a conserved vocal niche to hijack the brain's salience system.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Lou T BlanpainDepartment of Neurosurgery, Emory University School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-6022-9654
Eric R ColeDepartment of Neurosurgery, Emory University School of Medicine, Atlanta, GA, USA.
Emily ChenDepartment of Neurosurgery, Emory University School of Medicine, Atlanta, GA, USA.
James K 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 WillieDepartments of Neurological Surgery, Neurology, Psychiatry, and Biomedical Engineering, Washington University, St. Louis, MO, USA. jontwillie@wustl.edu.ORCID http://orcid.org/0000-0001-9565-4338
Annabelle C SingerNeuroscience Graduate Program, Graduate Division of Biological and Biomedical Sciences, Emory University, Atlanta, GA, USA. asinger@gatech.edu.ORCID http://orcid.org/0000-0001-6003-0488
Georgia Institute of Technology · USEmory University · USHope Center for Neurological Disorders · USRutgers, The State University of New Jersey · 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
Hippocampal interneurons in novel memory formation in health and Alzheimer's diseaseRF1AG078736 · NIA · GEORGIA INSTITUTE OF TECHNOLOGY · PI SINGER, ANNABELLE CATHERINE · 2022 to 2025
$2.5M
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
NIA NIH HHS RF1 AG078736NIBIB 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. Interventions that both non-invasively modulate deep brain structures and are practical for chronic daily home use are desirable for a variety of therapeutic applications. Repetitive audio-visual stimulation, or sensory flicker, is an accessible approach that modulates hippocampus in mice, but its effects in humans are poorly defined. We therefore quantified the neurophysiological effects of flicker with high spatiotemporal resolution in patients with focal epilepsy who underwent intracranial seizure monitoring. In this interventional trial (NCT04188834) with a cross-over design, subjects underwent different frequencies of flicker stimulation in the same recording session with the effect of sensory flicker exposure on local field potential (LFP) power and interictal epileptiform discharges (IEDs) as primary and secondary outcomes, respectively. Flicker focally modulated local field potentials in expected canonical sensory cortices but also in the medial temporal lobe and prefrontal cortex, likely via resonance of stimulated long-range circuits. Moreover, flicker decreased interictal epileptiform discharges, a pathological biomarker of epilepsy and degenerative diseases, most strongly in regions where potentials were flicker-modulated, especially the visual cortex and medial temporal lobe. This trial met the scientific goal and is now closed. Our findings reveal how multi-sensory stimulation may modulate cortical structures to mitigate pathological activity in humans.

Indexed as

Epilepsies, PartialEpilepsyBrainCross-Over StudiesElectroencephalographyHumansTemporal Lobe

Identifiers

PMID38605017
PMCPMC11009358
OpenAlexW4394714208

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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.