The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.
Long‐term amygdalohippocampal stimulation for refractory temporal lobe epilepsy
Abstract
Short‐term deep brain stimulation (DBS) recently has been shown to be efficacious in refractory temporal lobe epilepsy. We (1) evaluated long‐term DBS in medial temporal lobe structures in patients with normal magnetic resonance imaging (MRI) findings and (2) investigated the use of chronic DBS electrodes for the localization of the ictal onset zone before DBS. In three patients with complex partial seizures (CPSs), DBS electrodes were implanted in the amygdalohippocampal region to identify and subsequently stimulate the ictal onset zone. CPSs were compared before and after chronic DBS. Side effects were carefully monitored. DBS electrodes yielded high‐quality electroencephalogram recordings showing unilateral seizure onset in medial temporal lobe structures. For all patients, unilateral amygdalohippocampal stimulation was performed. After a mean follow‐up of 5 months (range, 3–6 months), all patients had a greater than 50% reduction in seizure frequency. In two patients, antiepileptic drugs could be tapered. None of the patients reported side effects. This open study demonstrates the feasibility of consecutive electroencephalographic recordings and DBS in medial temporal lobe structures using DBS electrodes. These results prompt further studies in a larger patient population to establish the efficacy and safety of chronic DBS as an alternative treatment for refractory temporal lobe epilepsy.
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Cites
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Cited by
A Controlled Clinical Trial of Cathodal DC Polarization in Patients with Refractory Epilepsy
Fregni, F., Thome‐Souza, S., Nitsche, M. A., Freedman, S. D., Valente, K. D., & Pascual‐Leone, A. (2006) · Epilepsia · doi:10.1111/j.1528-1167.2006.00426.x · Cited by 295
Deep brain stimulation for drug‐resistant epilepsy
Li, M. C. H., & Cook, M. J. (2018) · Epilepsia · doi:10.1111/epi.13964 · Cited by 293
Automated seizure abatement in humans using electrical stimulation
Osorio, I., Frei, M. G., Sunderam, S., Giftakis, J., Bhavaraju, N. C., Schaffner, S. F., & Wilkinson, S. B. (2005) · Annals of Neurology · doi:10.1002/ana.20377 · Cited by 274
A Micropower Low-Noise Neural Recording Front-End Circuit for Epileptic Seizure Detection
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Deep brain stimulation: current and future perspectives
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Metadata
- Authors
- Vonck, K., Boon, P., Achten, E., De Reuck, J., & Caemaert, J.
- Venue
- Annals of Neurology
- Publisher
- Wiley
- Published
- 2002-09-25
- Volume
- 52
- Issue
- 5
- Pages
- 556-565
- ISSN
- 0364-5134 (ISSN-L)
- 1531-8249
- OpenAlex
- W2068047137
- Cited by
- 295
- References
- 19
- FWCI
- 8.48
- Type
- journal article
- Language
- en
- Open access
- closed
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