Theta Phase Synchronization between the Human

Theta Phase Synchronization between the Human
Hippocampus and Prefrontal Cortex Increases
during Encoding of Unexpected Information:
Un estudio de caso

Matthias J. Gruber1,2, Liang-Tien Hsieh2,3, Bernhard P. Staresina4, Christian E. Elger5,
Juergen Fell5, Nikolai Axmacher6, and Charan Ranganath2

Abstracto

■ Events that violate predictions are thought to not only modu-
late activity within the hippocampus and PFC but also enhance
communication between the two regions. Scalp and intracranial
EEG studies have shown that oscillations in the theta frequency
band are enhanced during processing of contextually unexpected
información. Some theories suggest that the hippocampus and
PFC interact during processing of unexpected events, and it is
possible that theta oscillations may mediate these interactions.
Aquí, we had the rare opportunity to conduct simultaneous elec-
trophysiological recordings from the human hippocampus and
PFC from two patients undergoing presurgical evaluation for
pharmacoresistant epilepsy. Recordings were conducted during
a task that involved encoding of contextually expected and un-

expected visual stimuli. Across both patients, hippocampal–
prefrontal theta phase synchronization was significantly higher
during encoding of contextually unexpected study items, rel-
ative to contextually expected study items. Además, el
hippocampal–prefrontal theta phase synchronization was
larger for contextually unexpected items that were later remem-
bered compared with later forgotten items. Además, we did not
find increased theta synchronization between the PFC and rhinal
corteza, suggesting that the observed effects were specific to
prefrontal–hippocampal interactions. Our findings are consistent
with the idea that theta oscillations orchestrate communication
between the hippocampus and PFC in support of enhanced en-
coding of contextually deviant information. ■

INTRODUCCIÓN

Unexpected events that violate internal predictions are
more likely to be successfully encoded to memory
(p.ej., Elhalal, Davelaar, & Ujier, 2014; Murty & Adcock,
2014; Schomaker et al., 2014; Axmacher et al., 2010). Él
has been proposed (Lisman & Grace, 2005; Ranganath
& Rainer, 2003) that the hippocampus and PFC play a
critical role in the detection and formation of memories
of contextually unexpected events (p.ej., rare events of a
specific category that are randomly encountered within
most events of a different category; Von Restorff, 1933).
Consistent with this idea, fMRI studies in humans have in-
dicated that processing of contextually unexpected in-
formation is associated with increased activation in the
hippocampus and PFC (and other cortical/subcortical re-
gions; Murty & Adcock, 2014; Murty, Ballard, Macduffie,
krebs, & Adcock, 2013; Yassa & Rígido, 2008; Bunzeck &
Düzel, 2006; Strange & Dolan, 2001). Curiosamente, func-

1Universidad de Cardiff, 2Universidad de California, davis, 3Universidad
of California, berkeley, 4University of Birmingham, 5Universidad
of Bonn, 6Ruhr University Bochum

© 2018 Instituto de Tecnología de Massachusetts

tional connectivity between the hippocampus and PFC is
enhanced during successful memory encoding and re-
trieval (p.ej., Nee & En Jonia, 2008; Ranganath, infierno,
cohen, Brozinsky, & Rissman, 2005; grady, McIntosh, &
Craik, 2003). Por lo tanto, a currently unresolved question
is whether or how these regions interact during encoding
or processing of contextually unexpected events.

Several EEG studies have suggested that neural oscilla-
tions in the theta band are enhanced after contextually
unexpected events. Studies using intracranial EEG have
shown that hippocampal theta power is increased during
encoding of contextually unexpected information (Chen
et al., 2013; Axmacher et al., 2010). Además, contex-
tually unexpected events elicit increases in scalp-recorded
frontal theta power (p.ej., Cavanagh & Franco, 2014;
Cavanagh, Figueroa, cohen, & Franco, 2012; Walsh &
anderson, 2012), and recent EEG studies have demon-
strated increases in theta phase synchrony between
frontal and temporal scalp sites during contextually un-
expected stimuli (Harper, Malone, & Iacono, 2017; Sotavento,
Sotavento, kim, & Jung, 2014). In light of this evidence, es
possible that theta oscillations facilitate communication
between PFC and the hippocampus during encoding of
contextually unexpected events.

Revista de neurociencia cognitiva 30:11, páginas. 1646–1656
doi:10.1162/jocn_a_01302

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Results from other paradigms have indicated that inter-
actions between PFC and the hippocampus could be
mediated by theta coupling. Por ejemplo, intracranial
EEG studies in humans have reported increased theta
phase synchronization between PFC and medial temporal
lobe cortical regions during virtual navigation and memory
retrieval (Watrous, Tandon, Conner, Pieters, & Ekstrom,
2013; anderson, Rajagovindan, Ghacibeh, Meador, &
Ding, 2010; Kahana, Sekuler, Caplan, Kirschen, & Madsen,
1999; but see Raghavachari et al., 2006), but these studies
did not report changes in phase synchrony specifically
with the hippocampus. Recent studies on memory re-
trieval in humans using source localization on magneto-
encephalography data or combined EEG–fMRI data also
suggest that theta oscillations correlate with hippocampal–
PFC connectivity (Kaplan et al., 2017; Herweg et al., 2016;
Fuentemilla, Barnes, Duzel, & Levin, 2014).

Consistent with the idea that theta oscillations might
facilitate communication between PFC and the hippo-
campus, local field potential recordings in rodents have
shown that salient events (p.ej., those occurring at choice
points in a maze learning task) increase oscillatory power
in the theta band (4–8 Hz) within the hippocampus and
PFC (p.ej., Donnelly et al., 2014; O’Neill, gordon, &
Sigurdsson, 2013; Totah, Jackson, & Moghaddam, 2013;
Hasselmo, Bodelón, & Wyble, 2002; Winson, 1978). Fur-
thermore, recordings in rodents and nonhuman primates
have also shown that theta oscillations synchronize be-
tween the two areas (Brincat & Molinero, 2015; Fujisawa &
Buzsáki, 2011; Benchenane et al., 2010; Hyman, Zilli,
Paley, & Hasselmo, 2005; jones & wilson, 2005). por ejemplo-
amplio, enhanced theta phase synchrony between the
hippocampus and PFC has been shown during perfor-
mance of a spatial T-maze task (Benchenane et al.,
2010) and during retrieval of object–context associations
(Place, Farovik, Brockmann, & Eichenbaum, 2016). Estos
findings in the rodent brain are consistent with the idea
that phase synchronization in the theta frequency band is
relevant for spike-timing-dependent plasticity (Fell &
Axmacher, 2011). Sin embargo, little is known about the ex-
tent to which the findings of frontal–hippocampal synchro-
nization in rodents correspond to activity in the human
cerebro.

en este estudio, we used intracranial EEG to determine
(i) whether human hippocampal–PFC theta phase syn-
chrony is enhanced during processing of contextually
unexpected events and (ii) whether hippocampal–PFC
theta phase synchrony predicts later memory perfor-
mance. We used a Von Restorff paradigm ( Von Restorff,
1933) in which patients encoded trial-unique images
from two different categories (for exemplary trials, ver
Figura 2A). En tono rimbombante, one type of stimuli comprised
most encoding stimuli in a given encoding-test block
(contextually expected items; p.ej., grayscale faces on a
red background), and the other type of stimuli only
comprised a small percentage (es decir., 14%) of the encod-
ing stimuli in a given encoding-test block (contextually

unexpected items; p.ej., grayscale houses on a green
fondo). During the encoding phase, we recorded
intracranial EEG simultaneously from the hippocampus
and PFC in two patients with pharmacoresistant epilepsy.
The locations of the implanted prefrontal electrodes also
allowed us to explore whether theta phase synchroniza-
tion with the hippocampus might be evident with specific
subregions of PFC. Además, we also investigated
phase synchronization between PFC and sites in the
rhinal cortex.

MÉTODOS

We recorded intracranial EEG from two pharmacorefrac-
tory epileptic patients at the Department of Epileptology
at the University of Bonn, Alemania. Both patients (uno
woman; 46 y 48 years old) were implanted with bilat-
eral depth electrodes in the hippocampus and the adja-
cent rhinal cortex as well as with bilateral subdural
electrodes covering parts of PFC (es decir., one frontopolar
and one frontolateral electrode strip bilaterally covering
rostral/anterior and lateral PFC regions, respectivamente; ver
Cifra 1). From the larger sample of patients reported in
Axmacher et al. (2010), the two patients were the only
patients who had both implanted hippocampal and PFC
electrodes. Details about the patients and analyses of
ERPs and oscillatory power from hippocampal sites in
these two patients are presented in Axmacher et al.
(2010). Because epileptic seizures were focused on left
hippocampal and surrounding medial temporal lobe
areas in one patient and left medial temporal lobe areas
and left temporolateral areas in the other patient, nosotros sólo
considered data from the hippocampal, rhinal, and PFC
electrodes on the right hemisphere. The local ethics

Cifra 1. Locations of hippocampal and prefrontal electrodes. Sobre el
arriba, the location of the selected hippocampal electrode is depicted for
each patient (Patient 1: MNI = 32, −29, −7; Patient 2: MNI = 26, −29,
−10). On the bottom, all implanted subdural strip electrodes covering the
right hemisphere are depicted for each patient. Only the frontopolar and
frontolateral strips were analyzed for each patient.

Gruber et al.

1647

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Primero, we restricted our iEEG analyses to contextually un-
esperado (Patient 1: 32 ensayos; Patient 2: 15 ensayos) y estafa-
textually expected items (Patient 1: 68 ensayos; Patient 2: 45
ensayos) that were later correctly recognized in the recogni-
tion memory test (es decir., collapsed across correct confident
old and unconfident old responses), to examine effects of
contextual unexpectedness. This approach gave us a suf-
ficient number of trials and did not confound effects
driven by contextual unexpectedness with memory en-
codificación. Segundo, we asked whether any potential theta
phase synchronization effects further predict later mem-
ory. Para tal fin, we compared the later remembered
elementos (from the previous analysis) with the later forgot-
ten items separately in the contextually unexpected
condición (forgotten items: Patient 1, 17 ensayos; Patient
2, 25 ensayos) and the contextually expected condition (para-
gotten items: Patient 1, 18 ensayos; Patient 2, 29 ensayos). Para-
gotten trials included items with incorrect confident new
and unconfident new responses as well as items for
which the patients did not give any response during
the recognition test.

Because electrode placement varied across patients
because of the clinical needs of each patient, we focused
our analyses on hippocampal contacts that were most
consistently localized across the two patients. Eso es,
we first selected one hippocampal electrode per patient
that had maximal anatomical overlap between the two
patients. The selected hippocampal electrode pair (uno
electrode from each patient) had the smallest Euclidean
distance between the two patients (7-mm distance; Patient 1:
Instituto Neurológico de Montreal [MNI] = 32, −29, −7;
Patient 2: MNI = 26, −29, −10; ver figura 1). Nosotros entonces
used the EEGLAB toolbox (Delorme & Makeig, 2004) a
segment the iEEG data into epochs from −2 to +3 segundo
relative to the onset of all items. To preprocess these
datos, primero, we used an automated artifact detection pro-
cedure implemented in EEGLAB, in which EEG activity
that exceeded more than three 3 SDs from the mean
on that electrode or 5 SDs across all electrodes was ex-
cluded from the analyses (Gruber, Watrous, Ekstrom,
Ranganath, & Otten, 2013). Segundo, in line with our orig-
inal data set (Axmacher et al., 2010), we then visually
inspected the hippocampal and prefrontal raw data and
further manually discarded trials containing EEG artifacts
and epileptiform activity from any further analyses (es decir.,
trials discarded because of artifacts or epileptic signals
detected in a given channel were also excluded from
the analysis for all other electrodes).

We also excluded data from the first electrode of each
PFC electrode strip (es decir., most inferior electrode) for both
patients because of a very low signal-to-noise ratio as
compared with all other remaining PFC electrodes (es decir.,
no visible event-related evoked responses across contex-
tually unexpected and expected trials). Artifact-free iEEG
data were then imported into the Fieldtrip toolbox
(Oostenveld, Fries, Maris, & Schoffelen, 2011) for further
análisis. Primero, standard time–frequency decomposition

Cifra 2. Experimental procedure. (A) During the encoding phase for
which iEEG results are reported here, patients encoded images of
stimuli that comprised most encoding stimuli (contextually expected
elementos), and the other type of stimuli only comprised a small
porcentaje (contextually unexpected items). Categories (es decir., faces,
houses) and colors (es decir., rojo, verde) of contextually expected and
unexpected stimuli were counterbalanced across blocks in each
patient. (B) After an encoding block, patients completed a recognition
memory test.

committee approved the study, and both patients gave
written informed consent.

Both patients took part in a variant of a Von Restorff par-
adigm (Von Restorff, 1933; for details of the experimental
procedimiento, see Axmacher et al., 2010). During the en-
coding phase for which iEEG results are reported here,
patients encoded trial-unique images from two different
categories (for exemplary trials, see Figure 2A). Impor-
tantly, one type of stimuli comprised most encoding stim-
uli in a given encoding-test block (contextually expected
elementos; p.ej., grayscale faces on a red background as shown
in Figure 2A), and the other type of stimuli only comprised
a small percentage (es decir., 14%) of the encoding stimuli in a
given encoding-test block (contextually unexpected items;
p.ej., grayscale houses on a green background as shown in
Figura 2A). Categories and colors of contextually expect-
ed and unexpected stimuli were counterbalanced across
blocks in each patient. After the encoding phase, patients
completed a recognition memory test for these images
(Figura 2B). Memory accuracy (es decir., hits − false alarms
collapsed across confident old and unconfident old re-
sponses) was higher for contextually unexpected compared
with expected events in Patient 1 (40% vs. 35%) but not in
Patient 2 (44% vs. 53%).

1648

Revista de neurociencia cognitiva

Volumen 30, Número 11

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was performed on artifact-free raw EEG data to obtain
power and phase information. We used a Morlet wavelet
decomposition method with a width of 5 cycles in indi-
vidual frequencies. Decomposition was conducted within
the epoch period of −0.2 to 1.2 segundo (t1 = onset of event)
in steps of 0.02 sec and in the frequency range of 2–20 Hz.
Segundo, to address the role of theta phase synchrony
between the hippocampus and PFC, we calculated phase
synchrony indices between the previously selected hip-
pocampal electrode and each of the artifact-free frontal
electrodes, Resultando en 14 hippocampal–PFC electrode
pairs for each patient. Phase synchrony was separately
quantified for all four conditions (contextually unex-
pected remembered, contextually unexpected forgotten,
contextually expected remembered, and contextually ex-
pected forgotten) using the debiased estimator of the
squared weighted phase lag index (d-WPLI) implemented
in Fieldtrip. The d-WPLI has the advantage that it allevi-
ates problems related to volume conduction and other
noise-related issues (Vinck, Oostenveld, van Wingerden,
battaglia, & Pennartz, 2011).

To statistically determine whether contextually unex-
pected compared with expected items show a significant
theta phase synchrony increase, we used a nonparametric
statistical approach that randomly permutes condition
labels to correct for multiple comparisons across electrode
pares. Analyses were conducted separately in each patient
for all data points within a selected time–frequency range
(time range = −0.2 to 1.2 segundo, frequency range = 2–20 Hz).
This analysis approach had the strength to reveal signifi-
cant time–frequency clusters without prior selection of a
specific time–frequency bin of interest. The steps are as
follows: (1) We computed the d-WPLI values within the
selected time–frequency range for each condition (a
use an identical approach as for the surrogate data, nosotros
randomly selected equal trial numbers from two condi-
tions of interest based on the minimum number of trials
in one condition). We then computed the difference of
the d-WPLI values between the conditions of interest
(es decir., first analysis: contextually unexpected vs. esperado
elementos; second and third analyses: remembered vs. forgot-
ten items in the contextually unexpected and contextually
expected conditions, separately). Thereby, we obtained
the empirical difference in theta phase synchrony (es decir.,
d-WPLI) between two conditions. (2) We shuffled trial
labels by randomly selecting equal trial numbers from
the two conditions based on the minimum number of tri-
als in one condition, calculated surrogate phase synchrony
values for all 14 electrode pairs, took the difference be-
tween the surrogate conditions for all 14 electrode pairs,
and saved the maximum surrogate phase synchrony differ-
ence across all 14 electrode pairs (es decir., electrode-pairmax).
(3) Step 2 was repeated 500 veces. On the basis of the
500 permutations, we created a null distribution of all
electrode-pairmax difference values and determined the
alpha cutoff point ( pag < .05, one-sided; i.e., 475th data point in surrogate difference distribution) to test the statistical significance of the empirical theta phase synchrony values for all electrode pairs. This stringent approach allowed us to correct for multiple comparisons across electrodes. RESULTS As shown in Figure A1, in both patients, permutation tests that corrected for multiple comparisons revealed that frontopolar (within Brodmann’s area 10) and dorso- lateral (within Brodmann’s area 46) prefrontal electrode sites showed significantly increased theta phase syn- chrony with the hippocampus during encoding of contex- tually unexpected compared with expected items. Figure 3 depicts one selected hippocampal–frontopolar electrode pair per patient showing phase synchronization increases for contextually unexpected compared with ex- pected items in the theta frequency range (∼3–8 Hz; black contours show the permutation-based significant difference clusters in Figure 3A). We found that the theta phase synchronization increase is specific to contextually unexpected items (Figure 3B) and absent in contextually expected items (Figure 3C). In a second set of analyses, we investigated whether the increased theta phase synchronization related to con- textual unexpectedness predicted later memory perfor- mance. Importantly, in the “contextually unexpected” condition, across both patients, permutations tests re- vealed a significant increase in hippocampal–frontopolar theta phase synchronization for later remembered com- pared with later forgotten unexpected information (Figure 4A). As such, the significant cluster of the contex- tually unexpected subsequent memory effect overlapped with the significant time–frequency cluster of the con- textually unexpected–expected contrast (see Figure 4 for the same hippocampal–frontopolar electrode pairs shown in Figure 3). In contrast, the subsequent memory analysis for the “contextually expected” condition only showed smaller significant clusters that did not overlap in the time–frequency domain with the original clusters from the contextually unexpected–expected contrast (Figure 4B). For completeness, Figure A2 shows all 14 electrode pairs for the encoding-related phase synchro- nization in the contextually unexpected condition. To examine whether the theta phase synchrony effects were specific to hippocampal–PFC interactions, we per- formed control analyses in which we quantified theta phase synchrony between rhinal and PFC electrodes. We selected an electrode contact for each patient from the rhinal cortex (perirhinal/entorhinal cortex) based on the smallest Euclidean distance between rhinal contacts in both patients resulting in a 9-mm distance between both patients (distance between rhinal and hippocampal contact: 41 and 36 mm for Patients 1 and 2, respectively). Importantly, permutation tests that corrected for multi- ple comparisons across electrode pairs revealed that the frontal electrodes that showed increases in theta phase synchrony with the hippocampus did not show Gruber et al. 1649 l D o w n o a d e d f r o m h t t p : / / d i r e c t . m i t . e d u / j / o c n a r t i c e - p d l f / / / 3 0 1 1 1 6 4 6 1 7 8 7 8 6 9 / / j o c n _ a _ 0 1 3 0 2 p d . f b y g u e s t t o n 0 8 S e p e m b e r 2 0 2 3 l D o w n o a d e d f r o m h t t p : / / d i r e c t . m i t . e d u / j / o c n a r t i c e - p d l f / / / 3 0 1 1 1 6 4 6 1 7 8 7 8 6 9 / / j o c n _ a _ 0 1 3 0 2 p d . f b y g u e s t t o n 0 8 S e p e m b e r 2 0 2 3 Figure 3. Increases in hippocampal–prefrontal theta phase synchrony for contextually unexpected compared with expected information for one selected frontopolar electrode per patient (highlighted in yellow). In both patients, frontopolar and dorsolateral prefrontal electrode sites showed significantly increased theta phase synchrony with the hippocampus during encoding of contextually unexpected compared with expected items (see Figure A1 for all 14 hippocampal-PFC electrode pairs). Phase synchrony was measured via the debiased WPLI-square estimator (d-WPLI) ( Vinck et al., 2011). Top row depicts findings for Patient 1 and bottom row depicts findings for Patient 2. (A) Significant clusters revealed via permutation tests are depicted with black contours ( p < .05 family-wise error corrected). (B) Theta phase synchronization was evident for contextually unexpected events and (C) absent in contextually expected events. enhanced theta phase synchrony with the rhinal cortex for contextually unexpected compared with contextually expected trials. DISCUSSION Our study demonstrates that theta phase synchrony between the hippocampus and PFC is enhanced during unexpected, contextually deviant events. Moreover, par- ticularly at sites in the frontopolar cortex, results from both participants converged in revealing that hippocampal– frontopolar synchronization predicted later memory performance. These findings are consistent with the idea that theta oscillations facilitate communication between PFC and the hippocampus in support of successful mem- ory encoding. Although electrophysiological recording studies in rodents and nonhuman primates have provided evidence for task-evoked changes in theta synchronization between the hippocampus and PFC (Place et al., 2016; Brincat & Miller, 2015; Fujisawa & Buzsáki, 2011; Benchenane et al., 2010; Hyman et al., 2005), it is worth noting that nonhuman and human electrophysiological studies typi- cally assess synchrony in different ways. Studies in rodents often measure synchrony via single-unit spiking activity that is phase-locked to theta oscillations or via amplitude-based coherence of local field potentials between two regions (e.g., Benchenane et al., 2010; Jones & Wilson, 2005). Human studies, in contrast, commonly measure synchrony via phase alignment of theta oscillations between distant brain regions (e.g., Kaplan et al., 2017; Backus, Schoffelen, Szebényi, Hanslmayr, & Doeller, 2016; Watrous et al., 1650 Journal of Cognitive Neuroscience Volume 30, Number 11 l D o w n o a d e d f r o m h t t p : / / d i r e c t . m i t . e d u / j / o c n a r t i c e - p d l f / / / 3 0 1 1 1 6 4 6 1 7 8 7 8 6 9 / / j o c n _ a _ 0 1 3 0 2 p d . f b y g u e s t t o n 0 8 S e p e m b e r 2 0 2 3 Figure 4. Subsequent memory analyses for the ‘contextually unexpected’ and ‘contextually expected’ condition. Across both patients, permutation tests revealed strong encoding-related hippocampal-frontopolar theta phase synchronization (same hippocampal-PFC electrode pairs as shown in Figure 3) in the ‘contextually unexpected’ condition that overlapped with the time-frequency cluster of the previously observed theta phase synchronization increase for contextually unexpected events (see Figure A2 for all 14 hippocampal–PFC electrode pairs). In contrast, encoding- related theta phase synchronization in the “contextually expected” condition was limited to small clusters that did not overlap with the previously reported phase synchronization for unexpected events. 2013). Despite these methodological differences in the measurement of synchrony, our findings in humans con- verge with findings in rodents in that they support the idea that theta synchrony facilitates interactions between the hippocampus and PFC and thereby facilitates memory formation. Our findings are consistent with recent findings in rodents (Place et al., 2016) that have shown that hippocampal–PFC phase synchronization represents long-range communica- tion. On the basis of the findings by Place et al. (2016) that the mnemonic operation determines the direction of information flow between the two regions, we speculate that information flow from the hippocampus to PFC might underlie the encoding of unexpected events into memory. However, our analyses do not allow making any claim about the directionality, and more advanced analyses would be needed to address this question. It could be argued that theta synchronization might be a ubiquitous phenomenon during encoding, but at least two aspects of our findings are not consistent with this idea. First, theta synchrony between the two regions was larger for contextually unexpected compared with expected events, and second, this synchrony increase was specific between PFC and the hippocampus but did not extend to a cortical medial temporal lobe region (i.e., no evidence for rhinal–PFC theta synchrony). There- fore, our findings suggest that increased theta synchrony might be specific to a brain network (involving PFC and hippocampus) that detects the salience of information rather than being a ubiquitous property during encoding. We found an increase in theta phase synchrony dur- ing an early period during the presentation of a contex- tually unexpected event. Further control analyses of time–frequency power for the hippocampus and PFC contacts did not reveal consistent early theta power in- creases for contextually unexpected events in the two patients. It is therefore unlikely that theta power effects in the two regions drove the phase synchronization find- ings. However, the early theta hippocampal–PFC syn- chrony coincides with our previously shown early ERP finding in the human hippocampus (Axmacher et al., 2010). Therefore, the increase in theta synchrony be- tween PFC and the hippocampus, together with this early hippocampal ERP, might suggest an early detection Gruber et al. 1651 process that is elicited when expectations are violated and that the ongoing encoding processes need to be flex- ibly adapted toward the contextually unexpected infor- mation (cf. Axmacher et al., 2010). As pointed out in our earlier study (Axmacher et al., 2010), we cannot rule out that a third source might have driven the observed effect between the hippocampus and PFC. For example, as unexpected information depends on activity within a cortico-mesolimbic circuit, it would be interesting to test how other regions within the circuit might affect hippo- campal–PFC synchrony (e.g., Fujisawa & Buzsáki, 2011; Benchenane et al., 2010). Because of the sparse implan- tation scheme of intracranial EEG, this method is not ideally suited to investigate this question. Although the understanding of the direct anatomical connections between the hippocampus and frontopolar cortex is complicated by the fact that frontopolar cortex may be differentially organized in humans, as compared with nonhuman primates or rodents (Semendeferi, Lu, Schenker, & Damasio, 2002), one possible route could be via the nucleus reuniens of the ventral midline thala- mus (Bokor, Csáki, Kocsis, & Kiss, 2002; Herkenham, 1978), which has been shown to support long-term mem- ory formation (Barker & Warburton, 2018). Alternative routes could be via the entorhinal cortex and parahippo- campal cortex/retrosplenial cortex (Ranganath & Ritchey, 2012). One limitation of this study is that only two patients had electrodes placed in both the hippocampus and PFC. It would be beneficial for future studies to investi- gate this question with a larger sample and a sufficient number of trials to test the reproducibility of the data. In addition, future research would need to address how the observed theta phase synchronization for contex- tually unexpected information that predicts later memory generalizes to different forms of salient stimuli (e.g., novel or rewarded information). In conclusion, we have shown that contextually un- expected information elicits increased theta phase syn- chrony between the hippocampus and frontopolar cortex, and this increase in theta phase synchrony is associated with successful memory formation. Consistent with the literature on the relationship between theta activity and memory (for reviews, see Hsieh & Ranganath, 2014; Düzel, Penny, & Burgess, 2010), we suggest that theta synchrony between the hippocampus and PFC may be an important neural mechanism that helps to facilitate memory formation of novel, unexpected information. l D o w n o a d e d f r o m h t t p : / / d i r e c t . m i t . e d u / j / o c n a r t i c e - p d l f / / / 3 0 1 1 1 6 4 6 1 7 8 7 8 6 9 / / j o c n _ a _ 0 1 3 0 2 p d . f b y g u e s t t o n 0 8 S e p e m b e r 2 0 2 3 1652 Journal of Cognitive Neuroscience Volume 30, Number 11 APPENDIX l D o w n o a d e d f r o m h t t p : / / d i r e c t . m i t . e d u / j / o c n a r t i c e - p d l f / / / 3 0 1 1 1 6 4 6 1 7 8 7 8 6 9 / / j o c n _ a _ 0 1 3 0 2 p d . f b y g u e s t t o n 0 8 S e p e m b e r 2 0 2 3 Figure A1. Increase in theta phase synchronization for contextually unexpected compared with contextually expected events between the hippocampus and frontopolar and dorsolateral PFC electrode sites. All selected 14 hippocampal–PFC electrode pairs are shown. Significant clusters revealed via permutation tests are depicted with black contours. Gruber et al. 1653 l D o w n o a d e d f r o m h t t p : / / d i r e c t . m i t . e d u / j / o c n a r t i c e - p d l f / / / 3 0 1 1 1 6 4 6 1 7 8 7 8 6 9 / / j o c n _ a _ 0 1 3 0 2 p d . f b y g u e s t t o n 0 8 S e p e m b e r 2 0 2 3 Figure A2. Encoding-related increase in theta phase synchronization in the “contextually unexpected” condition between the hippocampus and frontopolar electrode sites across both patients. All selected 14 hippocampal–PFC electrode pairs are shown. 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Hippocampus, 18, 945–954. l D o w n o a d e d f r o m h t t p : / / d i r e c t . m i t . e d u / j / o c n a r t i c e - p d l f / / / 3 0 1 1 1 6 4 6 1 7 8 7 8 6 9 / / j o c n _ a _ 0 1 3 0 2 p d . f b y g u e s t t o n 0 8 S e p e m b e r 2 0 2 3 1656 Journal of Cognitive Neuroscience Volume 30, Number 11Theta Phase Synchronization between the Human image
Theta Phase Synchronization between the Human image
Theta Phase Synchronization between the Human image
Theta Phase Synchronization between the Human image
Theta Phase Synchronization between the Human image
Theta Phase Synchronization between the Human image

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