Evidence map›Paper›PMID 39949405›Full record

ArticleBrain communications2025

High-frequency oscillations in epileptic and non-epileptic Alzheimer's disease patients and the differential effect of levetiracetam on the oscillations.

M C Vishnu Shandilya, Kwaku Addo-Osafo, Kamalini G Ranasinghe, Mohamad Shamas, Richard Staba, Srikantan S Nagarajan, Keith Vossel

Abstract read
In one paragraph

Article in Brain communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Tracking electrophysiological signatures of Alzheimer's disease: a systematic review of multimodal studies.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Pooled it
  2. Review
  3. Review
  4. Article
  5. Decoding the mechanisms of amyloid-β in synaptic toxicity.Journal of Alzheimer's disease : JAD · 2026
    Review
  6. Implication of the thalamus in sleep alterations observed in Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  7. Article
  8. Review
  9. Article
  10. High-frequency oscillations >250 Hz in people with Down syndrome and associated Alzheimer's disease dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

M C Vishnu ShandilyaDepartment of Neurology, David Geffen School of Medicine, University of California, Los Angeles 90095, USA.ORCID https://orcid.org/0000-0002-3325-7641
Kwaku Addo-OsafoDepartment of Neurology, David Geffen School of Medicine, University of California, Los Angeles 90095, USA.
Kamalini G RanasingheDepartment of Radiology and Biomedical Imaging, University of California, San Francisco 94143, USA.ORCID https://orcid.org/0000-0002-4217-8785
Mohamad ShamasDepartment of Neurology, David Geffen School of Medicine, University of California, Los Angeles 90095, USA.ORCID https://orcid.org/0000-0001-7564-0932
Richard StabaDepartment of Neurology, David Geffen School of Medicine, University of California, Los Angeles 90095, USA.ORCID https://orcid.org/0000-0003-2285-5627
Srikantan S NagarajanDepartment of Radiology and Biomedical Imaging, University of California, San Francisco 94143, USA.
Keith VosselDepartment of Neurology, David Geffen School of Medicine, University of California, Los Angeles 90095, USA.

Funding

Electrophysiological and molecular imaging of early AD progressionR01AG088398 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Kamalini Gayathree Ranasinghe · 2024 to 2026
$2.4M
Multimodal imaging measures to assess synaptic dysfunction in Alzheimer's diseaseR21AG077498 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RANASINGHE, KAMALINI GAYATHREE · 2022 to 2022
$484k
NIA NIH HHS R01 AG088398NIA NIH HHS R21 AG077498
6 · The paper itself

Abstract

Alzheimer's disease increases the risk of developing epilepsy together with cognitive decline. Early diagnosis or prediction of parameters associated with epileptic activity can greatly help in managing disease outcomes. Network hyperexcitability is a candidate of interest as a neurophysiological biomarker of Alzheimer's disease. High-frequency oscillations are increasingly recognized as potential biomarkers of hyperexcitability and epileptic activity. However, they have not yet been identified in Alzheimer's disease. In this study, we measured high-frequency oscillations via magnetoencephalography recordings in Alzheimer's disease patients with and without epileptic activity, as part of a Phase 2a randomized, double blind clinical trial of the efficacy of levetiracetam to improve cognitive functions in Alzheimer's disease. To measure the high-frequency oscillations, we used 10-min magnetoencephalography recordings (275-channel and sampling rate 1200-4000 Hz) during awake resting periods in participants with Alzheimer's disease and healthy controls. Recordings from 14 Alzheimer's disease participants, with six having non-epileptic Alzheimer's disease (median age: 60.8, 2 M/4 F), eight having sub-clinical epileptic activity (median age: 54.9, 5 M/3 F) and eight as control (median age: 71, 5 M/3 F), were analysed using two software scripts: Delphos and a custom-made script, for detecting high-frequency oscillations. Levetiracetam 125 mg twice-a-day or placebo was administered for 4 weeks in between two magnetoencephalography recordings, and 4 weeks of washout before switching levetiracetam/placebo phases for each participant. High-frequency oscillations were categorized into ripples (80 to 250 Hz) and fast ripples (250 to 500 Hz). At baseline, Alzheimer's disease participants, both epileptic and non-epileptic had higher rate of ripples and fast ripples than controls in several left/right hemispheric sensor regions (

Indexed as

Alzheimer’s diseaseepilepsyhigh-frequency oscillationshyperactivitylevetiracetam

Identifiers

PMID39949405
PMCPMC11822293

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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.