Evidence map›Paper›PMID 40616305›Full record

ArticleEuropean journal of neurology2025

Toward a Tailored Acoustic-Based Approach in Music Neuromodulation in Epilepsy.

Ondřej Strýček, Jiří Mekyska, Štěpán Miklánek, Michal Fusek, Klára Štillová, Martin Mazánek, Ivan Rektor

Abstract read
In one paragraph

Article in European journal of neurology, 2025. 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

7 authors.

Ondřej StrýčekBrno Epilepsy Centre, First Department of Neurology, St. Anne's University Hospital and Faculty of Medicine, Masaryk University, Member of ERN-EpiCARE, Brno, Czech Republic.ORCID 0000-0003-3636-9056
Jiří MekyskaCentral European Institute of Technology (CEITEC), Masaryk University, Brno, Czech Republic.
Štěpán MiklánekFaculty of Electrical Engineering and Communication, Department of Telecommunications, Brno University of Technology, Brno, Czech Republic.
Michal FusekFaculty of Electrical Engineering and Communication, Department of Mathematics, Brno University of Technology, Brno, Czech Republic.
Klára ŠtillováBrno Epilepsy Centre, First Department of Neurology, St. Anne's University Hospital and Faculty of Medicine, Masaryk University, Member of ERN-EpiCARE, Brno, Czech Republic.
Martin MazánekFaculty of Arts, Department of Musicology, Masaryk University Symphony Orchestra, Masaryk University, Brno, Czech Republic.
Ivan RektorBrno Epilepsy Centre, First Department of Neurology, St. Anne's University Hospital and Faculty of Medicine, Masaryk University, Member of ERN-EpiCARE, Brno, Czech Republic.ORCID 0000-0002-9635-7404

Funding

MEYS CR LX22NPO5107
6 · The paper itself

Abstract

backgroundMusic-based neuromodulation has garnered interest as a potential therapeutic approach for drug-resistant epilepsy. This study expands on prior research by examining the effects of different musical features on interictal epileptiform discharges (IEDs) within intracerebral EEG (iEEG).

methodsTwenty-five patients with drug-resistant epilepsy undergoing presurgical iEEG evaluation participated in the study. Over 2 days, patients listened to various musical compositions characterized by distinct acoustic properties. EEG measurements were recorded before and after each listening session to evaluate IED changes.

resultsThe study identified individualized patterns in IED reduction, with certain acoustic properties showing consistent effects across musical genres. Mozart's "Piano Concerto No. 27" K 595c globally reduced IEDs by 28% while listening to music (p = 0.0191) and 19% in the postmusic resting state (p = 0.0111); relaxation music increased IEDs by 55% (p = 0.0197). Based on the acoustic analysis of individuals, we identified compositions that significantly reduced IEDs, with reductions ranging from 32% to 44% (p = 0.0001). In contrast, compositions with differing acoustic properties did not result in significant changes in IEDs. These results suggest that specific acoustic properties, rather than genre, primarily influence IEDs.

conclusionsThe findings suggest that specific acoustic properties can influence brain activity in a reproducible manner at the individual level, modulating IEDs based on personalized testing and selection across a spectrum of musical genres. These results suggest the potential for music-based neuromodulation as a personalized therapeutic approach in epilepsy management, emphasizing the importance of acoustic features over musical genre. Further research is needed to explore individual aspects of music-based interventions.

Indexed as

Acoustic StimulationAuditory PerceptionDrug Resistant EpilepsyMusicMusic TherapyAdolescentAdultElectrocorticographyElectroencephalographyFemaleHumansMaleMiddle AgedYoung Adultacoustic propertiesepilepsyiEEGinterictal epileptiform dischargesmusic

Identifiers

PMID40616305
PMCPMC12227797

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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.