Precise Timing Matters: Modulating Human Memory by Synchronizing Hippocampal Stimulation to Saccadic Event Related Potentials

Episodic memory, the ability to record and relive experiences, is intricately connected to visual exploration in most humans. This study explores the possibility that eye movements create physiological states relevant for memory, analogous to those associated with hippocampal theta. Previous work has demonstrated that saccadic eye movements, which occur roughly at theta frequency, elicit hippocampal event-related potentials (ERPs). Building on the Separate Phases of Encoding and Retrieval (SPEAR) model, we asked if the peaks and troughs of this saccadic ERP are differentially important for memory formation. Specifically, we applied saccade-contingent hippocampal electrical stimulation at estimated ERP peaks and troughs while individuals with epilepsy visually explored natural scenes across 59 sessions. We subsequently assessed their recognition memory for scenes and their recall of associated targets. Results indicate that memory is robust when stimulation precisely targets the peak or trough, contrasting with impairments observed with random stimulation. Moreover, memory impairment is prominent when stimulation is applied within 100 ms of saccade initiation, a time that reflects high medial temporal lobe inhibition. Our findings suggest that the hippocampus rapidly evolves through memory-relevant states following each eye movement, while also challenging the assumption that human saccadic ERP peaks and troughs mirror the encoding and retrieval phases of theta rhythms studied in rodents. The study sheds light on the dynamic interplay between eye movements, hippocampal activity, and memory formation, offering theoretical insights with potential applications for memory modulation in neurological disorders. Significance StatementWhy do eye-movements enhance memory formation? Here, we causally tested if eye-movements initiate short-lived states critical for memory formation within the hippocampus, a brain region known to support memory. We built a system that could precisely apply hippocampal electrical stimulation at key moments after eye-movements to test how the timing of this stimulation influenced peoples ability to form memories. We found that stimulation was particularly disruptive to memory formation when applied within 100 ms of initiating an eye movement. By contrast, memory was robust to stimulation precisely timed to the peak and trough of hippocampal eye-movement responses. We interpret this temporal evolution of memory-relevant states within a prominent model of how theta phases relate to rodent memory.