Evidence map›Paper›PMID 39175607›Full record

ArticleFrontiers in network physiology2024

Case report: Bridging limbic network epilepsy with psychiatric, memory, and sleep comorbidities: case illustrations of reversible psychosis symptoms during continuous, high-frequency ANT-DBS.

Lydia Wheeler, Samuel E Worrell, Irena Balzekas, Jordan Bilderbeek, Dora Hermes, Paul Croarkin, Steven Messina, Jamie Van Gompel, Kai J Miller, Vaclav Kremen and 1 more

Abstract readCase Reports
In one paragraph

Article in Frontiers in network physiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Lydia WheelerBioelectronic Neurophysiology and Engineering Laboratory, Department of Neurology, Mayo Clinic, Rochester, MN, United States.
Samuel E WorrellDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN, United States.
Irena BalzekasBioelectronic Neurophysiology and Engineering Laboratory, Department of Neurology, Mayo Clinic, Rochester, MN, United States.
Jordan BilderbeekDepartment of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, United States.
Dora HermesDepartment of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, United States.
Paul CroarkinDepartments of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, United States.
Steven MessinaDepartment of Radiology, Mayo Clinic, Rochester, MN, United States.
Jamie Van GompelDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN, United States.
Kai J MillerDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN, United States.
Vaclav KremenBioelectronic Neurophysiology and Engineering Laboratory, Department of Neurology, Mayo Clinic, Rochester, MN, United States.
Gregory A WorrellBioelectronic Neurophysiology and Engineering Laboratory, Department of Neurology, Mayo Clinic, Rochester, MN, United States.

Funding

Accelerating Dissemination of Implantable Neurotechnology for Clinical ResearchU24NS113637 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BORTON, DAVID ALLENSON, DENISON, TIMOTHY · 2020 to 2024
$4.4M
Neurophysiologically Based Brain State Tracking & Modulation in Focal EpilepsyUH2NS095495 · NINDS · MAYO CLINIC ROCHESTER · PI WORRELL, GREGORY A · 2015 to 2018
$4.2M
The glial mechanism for electrical brain stimulationR01NS112144 · NINDS · MAYO CLINIC ROCHESTER · PI WANG, HAI-LONG, WORRELL, GREGORY A · 2019 to 2023
$3.8M
Neurophysiologically Based Brain State Tracking & Modulation in Focal EpilepsyUH3NS095495 · NINDS · MAYO CLINIC ROCHESTER · PI WORRELL, GREGORY A · 2019 to 2021
$2.8M
NINDS NIH HHS R01 NS112144NINDS NIH HHS U24 NS113637NINDS NIH HHS UH2 NS095495NINDS NIH HHS UH3 NS095495
6 · The paper itself

Abstract

The network nature of focal epilepsy is exemplified by mesial temporal lobe epilepsy (mTLE), characterized by focal seizures originating from the mesial temporal neocortex, amygdala, and hippocampus. The mTLE network hypothesis is evident in seizure semiology and interictal comorbidities, both reflecting limbic network dysfunction. The network generating seizures also supports essential physiological functions, including memory, emotion, mood, and sleep. Pathology in the mTLE network often manifests as interictal behavioral disturbances and seizures. The limbic circuit is a vital network, and here we review one of the most common focal epilepsies and its comorbidities. We describe two people with drug resistant mTLE implanted with an investigational device enabling continuous hippocampal local field potential sensing and anterior nucleus of thalamus deep brain stimulation (ANT-DBS) who experienced reversible psychosis during continuous high-frequency stimulation. The mechanism(s) of psychosis remain poorly understood and here we speculate that the anti-epileptic effect of high frequency ANT-DBS may provide insights into the physiology of primary disorders associated with psychosis.

Indexed as

ANT-DBSEpilepsylimbic networkpsychosisseizure

Identifiers

PMID39175607
PMCPMC11338927

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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.