Evidence map›Paper›PMID 38997607›Full record

ArticleNature medicine2024

Disruption of neural periodicity predicts clinical response after deep brain stimulation for obsessive-compulsive disorder.

Nicole R Provenza, Sandesh Reddy, Anthony K Allam, Sameer V Rajesh, Nabeel Diab, Gabriel Reyes, Rose M Caston, Kalman A Katlowitz, Ajay D Gandhi, Raphael A Bechtold and 16 more

Erratum issued Registry-linked trialAbstract readClinical Study
In one paragraph

Article in Nature medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05915741 (Brain Recordings in Patients Undergoing Deep Brain Stimulation), which is not on this map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing 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.

NCT05915741 active not recruitingnot on this map

Brain Recordings in Patients Undergoing Deep Brain Stimulation (DBS) for Severe Obsessive-Compulsive Disorder (OCD)

TypeobservationalSponsorBaylor College of MedicineRan2021 to 2027Enrolled8ConditionsObsessive-Compulsive Disorder
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. NAcLat-DBS reduces GABANeurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Article
  6. Article
  7. Neural basis of successful DBS for OCD after failed capsulotomy.medRxiv : the preprint server for health sciences · 2026
    Article
  8. Adaptive Deep Brain Stimulation for Parkinson's Disease: Navigating the Roadblocks to Clinical Implementation.Movement disorders : official journal of the Movement Disorder Society · 2026
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors.

Nicole R Provenza *Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.ORCID http://orcid.org/0000-0002-6952-5417
Sandesh Reddy *Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Anthony K Allam *Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Sameer V RajeshDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Nabeel DiabDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Gabriel ReyesDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.ORCID http://orcid.org/0009-0007-3209-3319
Rose M CastonDepartment of Neurosurgery, University of Utah, Salt Lake City, UT, USA.
Kalman A KatlowitzDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Ajay D GandhiDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Raphael A BechtoldDepartment of Bioengineering, University of Washington, Seattle, WA, USA.
Huy Q DangDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Ricardo A NajeraDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Nisha GiridharanDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Katherine E KabotyanskiDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Faiza MominDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Mohammed HasenDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Garrett P BanksDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Brian J MickeyDepartment of Psychiatry, University of Utah, Salt Lake City, UT, USA.
Brent M KiousDepartment of Psychiatry, University of Utah, Salt Lake City, UT, USA.
Ben ShoftyDepartment of Neurosurgery, University of Utah, Salt Lake City, UT, USA.ORCID http://orcid.org/0000-0002-2949-4740
Benjamin Y HaydenDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Jeffrey A HerronDepartment of Neurological Surgery, University of Washington, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-9813-0094
Eric A StorchMenninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA.
Ankit B PatelDepartment of Electrical & Computer Engineering, Rice University, Houston, TX, USA.
Wayne K GoodmanDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Sameer A ShethDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, USA. sameer.sheth@bcm.edu.ORCID http://orcid.org/0000-0001-8770-8965

Funding

Measuring Automated Behavioral Observations & Vocal Expressions (ABOVE) while Recording from the BrainUH3NS100549 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI GOODMAN, WAYNE K · 2016 to 2022
$7.8M
Baylor Research Education Program in NeurosurgeryR25NS070694 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI SHETH, SAMEER ANIL · 2010 to 2023
$1.2M
Baylor Research Education Program in Clinical NeurosciencesUE5NS141382 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI Thomas E. Lloyd, Sameer Anil Sheth · 2025 to 2026
$106k
Baylor Research Education Program in NeurosurgeryUE5NS070694 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI SHETH, SAMEER ANIL · 2024 to 2024
$89k
NINDS NIH HHS R25 NS070694NINDS NIH HHS UE5 NS070694NINDS NIH HHS UE5 NS141382NINDS NIH HHS UH3 NS100549U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) UH3NS100549
6 · The paper itself

Abstract

Recent advances in surgical neuromodulation have enabled chronic and continuous intracranial monitoring during everyday life. We used this opportunity to identify neural predictors of clinical state in 12 individuals with treatment-resistant obsessive-compulsive disorder (OCD) receiving deep brain stimulation (DBS) therapy ( NCT05915741 ). We developed our neurobehavioral models based on continuous neural recordings in the region of the ventral striatum in an initial cohort of five patients and tested and validated them in a held-out cohort of seven additional patients. Before DBS activation, in the most symptomatic state, theta/alpha (9 Hz) power evidenced a prominent circadian pattern and a high degree of predictability. In patients with persistent symptoms (non-responders), predictability of the neural data remained consistently high. On the other hand, in patients who improved symptomatically (responders), predictability of the neural data was significantly diminished. This neural feature accurately classified clinical status even in patients with limited duration recordings, indicating generalizability that could facilitate therapeutic decision-making.

Indexed as

Deep Brain StimulationObsessive-Compulsive DisorderAdultFemaleHumansMaleMiddle AgedPeriodicityTreatment OutcomeVentral Striatum

Identifiers

PMID38997607
PMCPMC11485242

What Socratic holds

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Registered trials

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 Socratic graph.