Gimple, S. V. | bioRxiv Science

bioRxiv2026

High-Precision Event Synchronization for Chronic Deep Brain Stimulation Local Field Potential Recordings

BackgroundElectrophysiological recordings from chronically implanted Deep Brain Stimulation (DBS) electrodes can greatly advance understanding of disease and treatment mechanisms of motor and psychiatric disorders. The Medtronic Percept system allows for chronic recordings of local field potentials (LFP) from DBS target regions. However, these systems lack an inbuilt synchronization option to align LFP recordings to other recording modalities and consequently events in computerized tasks. ObjectiveWe propose and evaluate a synchronization method based on Transcutaneous Electrical Stimulation (TES) with low amplitudes to precisely align recorded LFP signals from the DBS electrodes to EEG recordings. MethodsThe TES-based synchronization approach was implemented and tested in 11 participants implanted with the Medtronic Percept for treatment of Parkinsons disease. ResultsThe proposed method provides high reliability, precise alignment and usability across all Medtronic Percept recording modes. Notably, the method enables recordings during adaptive DBS and with stimulation turned off. In this recording mode, LFP signals can be acquired from all recording contact pairs simultaneously, with a high signal-to-noise ratio. We provide detailed setup plans and share Python and Matlab scripts for signal alignment to enable easy application of our approach. ConclusionBy enabling reliable, well-aligned LFP recordings from all DBS contacts, our method provides a robust tool for studying neural dynamics and refining therapeutic interventions in diverse neurological conditions.

neuroscience↗

bioRxiv2025

Insular error network enables self-correcting intracranial brain-computer interface

Error recognition is fundamental to adaptive behavior, enabling rapid compensatory action when outcomes deviate from expectations. Central to this function are neural circuits for performance monitoring, encoding cognitive signals that could support more reliable neural interfaces. Here, we recorded intracranial electroencephalography (iEEG) in epilepsy patients to enable a motor brain-computer interface (BCI) while sampling error-related activity across a distributed network. Our work reveals high-frequency population dynamics emerging in the anterior insula and propagating to the prefrontal cortex as the interface fails to follow the users intention. We identify spatially organized insular responses to error processing and movement feedback, highlighting it as a heterogeneous hub linking action and outcome. Real-time integration of error responses enables a self-correcting neural interface that enhances usability by reducing the need for manual user intervention. Together, our work demonstrates a human intracranial BCI harnessing insular brain activity, integrating cognitive processes directly into device control.

neuroscience↗