Fast-timescale hippocampal processes bridge between slowly unfurling neocortical states during memory search

Prior behavioral work showed that event structure supports our ability to search through continuous naturalistic memories. We hypothesized that, neurally, this memory search process involves a division of labor between slowly unfurling neocortical states representing event knowledge and fast hippocampal-neocortical communication supporting retrieval of new information at transitions between events. In a sample of ten intracranial EEG patients we tracked slow neural state-patterns as patients viewed a movie and then searched their memories in a structured naturalistic interview. As patients answered questions ("after A, when does B happen next?"), state-patterns from movie-viewing were reinstated in neocortex. During the critical memory-search period, states unfurled in a forward direction, realizing a trajectory from A to B in memory. Punctate moments of state-transition during memory-search were marked by low-frequency power decreases in cortex and preceded by power decreases in hippocampus that correlated with reinstatement. Connectivity-analysis revealed information-flow from hippocampus to cortex underpinning state-transitions.