Hippocampal Oscillations During Exploration in Epilepsy Patients

This study aims to understand how brain activity in the hippocampus (a part of the brain important for memory and navigation) changes during exploration in people with epilepsy. Researchers will use two approaches: "Visual Exploration" involves cognitive testing while you are admitted to an epilepsy monitoring unit, and "Ambulatory Exploration" involves cognitive tasks during a study visit. The study will look at how brain waves (hippocampal theta power) change under different levels of cognitive effort (high, medium, and low cognitive loads). You may be eligible if you are 18-70 years old, can give informed consent, and either have hippocampal depth electrodes for epilepsy surgery or an implanted RNS device with a hippocampal depth electrode. The study plans to enroll 56 participants.

Study design
This is an interventional study with two main aims, involving surgical epilepsy patients, RNS patients, and healthy controls. It plans to enroll 56 participants.
What's involved
You would participate in cognitive testing sessions, either while admitted to an epilepsy monitoring unit or during a study visit. The number of sessions for visual exploration will vary based on your availability and stamina.
Compensation
Not stated in the trial record.
Follow-up
The primary endpoints for hippocampal theta power are measured at a single study visit (Day 1).

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NCT07224191

Hippocampal Oscillations During Exploration

Recruiting
NAAges 18–70InterventionalBasic science
NYU Langone Health
~56 participants
Updated 2026-07-08 on ClinicalTrials.gov
What's tested:Visual ExplorationAmbulatory Exploration

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Hippocampal Theta Power Under High Cognitive Loads
Measured over Study Visit (Day 1)
+7 more outcomes measured
Epilepsy
1 sites across 1 states
New York1
  • Anli Liu, MD, MA · PRINCIPAL_INVESTIGATOR · NYU Langone Health

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Eligibility criteria

Inclusion

Adults (18-70 years)
Able to provide informed consent
Implanted hippocampal depth electrodes for Stage 1 epilepsy surgery
MMSE\>=24
Implanted RNS device with at least one hippocampal depth electrode
At least 5 months post-implantation to avoid the post-implant effect
Have a relatively low number of seizures, defined as \<1 generalized tonic-clonic or other seizure with potential to fall or cause injury per month
Able to walk and wear research equipment without assistance
MMSE\>=24

Exclusion

Legally blind
Smoking tobacco, marijuana, recreational drugs or alcohol use within 1 week of cognitive testing
Unable to give informed consent
Pregnancy
  • Hippocampal Theta Power Under High Cognitive LoadsStudy Visit (Day 1)

    Aims 1 and 2. High cognitive loads defined as visual exploration of a complex scene with goal-driven task.

  • Hippocampal Theta Power Under Medium Cognitive LoadsStudy Visit (Day 1)

    Aims 1 and 2. Medium cognitive loads defined as visual exploration of a simpler scene with fewer objects.

  • Hippocampal Theta Power Under Low Cognitive LoadsStudy Visit (Day 1)

    Aims 1 and 2. Low cognitive loads defined as visual exploration of moving dots.

  • Hippocampal Theta Power Under No Cognitive LoadsStudy Visit (Day 1)

    Aims 1 and 2. Low cognitive loads defined as staring at a blank field of view or REM sleep.

  • Coherence Time-Locked to the Saccade Under High Cognitive LoadsStudy Visit (Day 1)

    Aims 1 and 2. High cognitive loads defined as visual exploration of a complex scene with goal-driven task.

  • Coherence Time-Locked to the Saccade Under Medium Cognitive LoadsStudy Visit (Day 1)

    Aims 1 and 2. Medium cognitive loads defined as visual exploration of a simpler scene with fewer objects.

  • Coherence Time-Locked to the Saccade Under Low Cognitive LoadsStudy Visit (Day 1)

    Aims 1 and 2. Low cognitive loads defined as staring at a blank field of view or REM sleep.

  • Coherence Time-Locked to the Saccade Under No Cognitive LoadsStudy Visit (Day 1)

    Aims 1 and 2. Low cognitive loads defined as staring at a blank field of view or REM sleep.