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Related Concept Videos

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Related Experiment Video

Updated: Jun 19, 2026

A Multimodal Imaging- and Stimulation-based Method of Evaluating Connectivity-related Brain Excitability in Patients with Epilepsy
08:23

A Multimodal Imaging- and Stimulation-based Method of Evaluating Connectivity-related Brain Excitability in Patients with Epilepsy

Published on: November 13, 2016

Therapeutic brain stimulation for epilepsy.

Juliana Lockman1, Robert S Fisher1

  • 1Department of Neurology and Neurological Sciences, Room A343, 300 Pasteur Drive, Stanford University School of Medicine, Stanford, CA 94305-5235, USA.

Neurologic Clinics
|October 27, 2009
PubMed
Summary
This summary is machine-generated.

Deep brain stimulation (DBS) shows promise for epilepsy treatment, with a recent trial demonstrating efficacy for partial seizures. Further research is needed to optimize parameters and identify ideal candidates for this palliative therapy.

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Area of Science:

  • Neurology
  • Neurosurgery
  • Epileptology

Background:

  • Deep brain stimulation (DBS) has been explored for epilepsy for over 30 years.
  • Success of vagus nerve stimulation for epilepsy and DBS for movement disorders fuels interest.
  • Clinical exploration includes various brain regions like the thalamus, hippocampus, and cerebellum.

Purpose of the Study:

  • To review the current status and future challenges of brain stimulation therapies for epilepsy.
  • To evaluate the efficacy of different brain targets for DBS in epilepsy treatment.
  • To discuss the potential of DBS as a therapeutic option for intractable epilepsy.

Main Methods:

  • Review of existing literature, including animal models and clinical studies.
  • Analysis of results from small, uncontrolled studies and a pivotal large, double-blind controlled trial.
  • Examination of ongoing and planned clinical trials for brain stimulation in epilepsy.

Main Results:

  • A large controlled trial demonstrated the efficacy of anterior nucleus of the thalamus DBS for partial seizures.
  • DBS has shown variable efficacy across different brain regions in animal models.
  • Small, uncontrolled studies present limitations in interpreting clinical efficacy.

Conclusions:

  • Deep brain stimulation (DBS) is emerging as a clinically useful therapy for certain types of epilepsy.
  • Optimal stimulation parameters and patient selection criteria require further investigation.
  • DBS offers a palliative, rather than curative, option for some individuals with treatment-resistant epilepsy.