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Review
. 2016 Jan;27(1):111-21.
doi: 10.1016/j.nec.2015.08.012.

Responsive Direct Brain Stimulation for Epilepsy

Affiliations
Review

Responsive Direct Brain Stimulation for Epilepsy

Martha J Morrell et al. Neurosurg Clin N Am. 2016 Jan.

Abstract

Closed-loop, responsive focal brain stimulation provides a new treatment option for patients with refractory partial onset seizures who are not good candidates for potentially curative epilepsy surgery. The first responsive brain neurostimulator (RNS® System, NeuroPace), provides stimulation directly to the seizure focus when abnormal electrocorticographic is detected. Seizure reductions of 44% at one year increase to 60 to 66% at years 3 to 6 of treatment. There is no negative impact on cognition and mood. Risks are similar to other implanted medical devices and therapeutic stimulation is not perceived.

Keywords: Closed-loop; Electrocorticogram; Epilepsy; Intracranial; Intractable; Neurostimulator; Responsive; Stimulation.

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