Divergent Electrophysiological Responses in the Human Hippocampus During Verbal Memory Processing

The profile of electrophysiological responses in the human hippocampus (HPC) during verbal memory processing has remained complex and unclear. Here, we studied 26 patients implanted with intracranial electrodes across 187 HPC sites (50% left, 2-18 per patient). During memory encoding and retrieval, a subset of HPC responsive sites demonstrated increased ripple events, along with elevated high-frequency (HFA >50 Hz), and low-frequency (LFA 1-8 Hz) activity. A nearly equal number of sites showed no changes in ripple rate but increased LFA power and a delayed response-locked decrease in HFA power. More importantly, both successful encoding as well as recognition of remembered words were strongly associated with the coordination of the timing of LFA and HFA increases across the two clusters of responsive HPC sites. Using direct cortical electrical stimulations, we confirmed overlapping, but partially distinct, cortical connections to the functionally distinct HPC clusters. Our findings suggest a mesoscale mosaic functional organization within the human HPC where adjacent sites with divergent electrophysiological responses may have specialized roles during verbal memory processing. More importantly, our findings suggest that successful human memory depends on the coordination of the timing of low and high frequency local fields generated across these functionally divergent neuronal population sites.