About this trial
The proposed project seeks to elucidate memory processes and consolidation during sleep by leveraging the unique capability of direct recordings from the human brain at multiple levels of resolution-single neurons, localized neuronal assemblies, intracranial local field potentials-during rich behavioral tasks with real-life narratives and extracting neural features that relate to different aspects of episodic experience. The investigators will further probe causal mechanisms of consolidation by application of auditory and electrical stimulations during sleep and its effect on modulating memory processes.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
All epilepsy patients between the ages of 18 and 65 who undergo depth electrode placement for clinical purposes
Eligibility is determined by the epilepsy surgery team (based on neuropsychological testing and on psychiatric evaluation)
Willing to provide informed consent and participate the study
Disqualifiers
Neurological or psychiatric issues, other than epilepsy, that would put the patient at risk
Patient is younger than 18 or older than 65 years of age
Unwilling to provide informed consent
Trial design
Single group
Treatments tested in this trial
Auditory and Electrical Stimulation
Other interventionElectrical and auditory stimulation will be applied during sleep.
Treatment groups
Trial outcomes
Primary outcomes
Recognition Accuracy
Accuracy will be analyzed to evaluate performance on memory tasks before and after sleep, specifically the ability to recognize correct items compared to all items. Accuracy will be measured using the sum of true positive and true negative divided by the total number of items. A within-subjects design will be employed and accuracy for stimulated vs. non-stimulated items will be compared.
Recognition Discriminability (D-prime)
Discriminability will be analyzed to evaluate performance on memory tasks before and after sleep, specifically the ability to recognize target items from distractor items. Discriminability will be measured using a discriminability index (d-prime). In addition to d-prime being a normalized metric, it provides critical and complementary information to the accuracy metric (Outcome 1) given that it is a measure of sensitivity (and not bias) in the cases where data labels are not balanced . A within-subjects design will be employed and discriminability for stimulated vs. non-stimulated items will be compared.
Secondary outcomes
Power sleep oscillations
The power of slow waves, spindles, ripples (all in units of dbm) will be computed. Employing a within-subjects design, the investigators will compare the change in the power of these oscillatory features for stimulated vs. non-stimulated items.
Neuronal replay index
Neuronal replay index, defined as the percentage of time during which neurons manifest replay-like activation as compared to the duration of deep sleep will be computed. Employing a within-subjects design, the investigators will compare the replay measure for stimulated vs. non-stimulated items.
Sponsors and contacts
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University of California, Los Angeles
Lead sponsor
University of Iowa
Collaborator
National Institute of Neurological Disorders and Stroke (NINDS)
Collaborator