Evidence map›Paper›PMID 40838518›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Cognitive outcomes of deep brain stimulation depend on age and hippocampal connectivity in Parkinson's and Alzheimer's disease.

Calvin W Howard, Martin Reich, Lan Luo, Niels Pacheco-Barrios, Ron Alterman, Ana Sofia Rios, Michelle Guo, Ziyue Luo, Helen Friedrich, Andrew Pines and 13 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

23 authors.

Calvin W HowardCenter for Brain Circuit Therapeutics, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Martin ReichDepartment of Neurology, University Clinic of Würzburg, Würzburg, Germany.
Lan LuoCenter for Brain Circuit Therapeutics, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Niels Pacheco-BarriosDepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Ron AltermanDepartment of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Ana Sofia RiosKlinik für Neurologie mit Experimenteller Neurologie, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Michelle GuoDepartment of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Ziyue LuoDepartment of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Helen FriedrichCenter for Brain Circuit Therapeutics, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Andrew PinesCenter for Brain Circuit Therapeutics, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Leila Montaser-KouhsariCenter for Brain Circuit Therapeutics, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
William DrewCenter for Brain Circuit Therapeutics, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Lauren HartCenter for Brain Circuit Therapeutics, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Garance MeyerCenter for Brain Circuit Therapeutics, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Nanditha RajamaniCenter for Brain Circuit Therapeutics, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Maximillian U FriedrichCenter for Brain Circuit Therapeutics, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Vanessa MilaneseCenter of Neurology and Neurosurgery Associates (NeuroCENNA), BP - A Beneficência de São Paulo, São Paulo, Brazil.
Andres LozanoDepartment of Surgery (Neurosurgery), University of Toronto, Toronto, Ontario, Canada.
ADvance Study Research Group
Thomas PichtDepartment of Neurosurgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Katharina FaustDepartment of Neurosurgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Andreas HornCenter for Brain Circuit Therapeutics, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Michael D FoxCenter for Brain Circuit Therapeutics, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Funding

Canadian Clinician Investigator Program
6 · The paper itself

Abstract

introductionHere we contrast cognitive outcomes of deep brain stimulation (DBS) in Parkinson's disease (PD) with Alzheimer's disease (AD) to isolate the shared effect of DBS upon cognition while filtering out disease-specific effects. Based on prior literature, we evaluate how DBS connectivity to the hippocampus influences cognition. We then evaluate how patient factors moderate this relationship.

methodsWe studied electrode locations and cognitive outcomes in patients who received subthalamic nucleus (STN) DBS for PD (2 datasets: n = 33, n = 28) or fornix DBS for AD (1 dataset: n = 46). We then investigate the moderating effect of patient factors and similarities across diseases.

resultsDBS site connectivity to the hippocampus was cognitively deleterious in PD but beneficial in AD. The opposite findings were driven by patient age. This effect was mediated by age-related hippocampal atrophy. DISCUSSION: The shared cognitive effects of DBS across PD and AD depend on hippocampal connectivity and age. HIGHLIGHTS: Cognition can be positively or negatively modulated in the same manner across diseases. Contrary to current clinical practice, older Parkinson's disease (PD) patients may benefit from deep brain stimulation (DBS). Our results support limiting enrollment to patients over 65 for Alzheimer's disease (AD) DBS, an emerging therapy currently in a phase 3 clinical trial. Hippocampal volume mediates the impact of DBS, suggesting patient atrophy must be considered in patient-specific care.

Indexed as

Alzheimer DiseaseCognitionDeep Brain StimulationHippocampusParkinson DiseaseAgedAge FactorsFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedSubthalamic NucleusAlzheimer's diseasecognitionconnectomic deep brain stimulationdeep brain stimulationParkinson's disease

Identifiers

PMID40838518
PMCPMC12368798

What OpenQuestion holds

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LicenceCC BY
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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.