Evidence map›Paper›PMID 31635298›Full record

ReviewBrain sciences2019

A Review of Neurostimulation for Epilepsy in Pediatrics.

Keith Starnes, Kai Miller, Lily Wong-Kisiel, Brian Nils Lundstrom

Registry-linked trialAbstract readReview
In one paragraph

Review in Brain sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06424977 (Safety and Effectiveness of Biomarker Targeted Stimulation in Epilepsy), which is not on this map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06424977 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Safety and Effectiveness of Biomarker Targeted Stimulation in Epilepsy

TypeinterventionalSponsorCadence NeuroscienceRan2026 to 2030Enrolled40ConditionsEpilepsyArmsBiomarker Targeted Stimulation (BTS)
3 · Its place in the literature

Who cites it

50 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Cenobamate for Difficult-to-Treat Epilepsy - Selected Case Vignettes.Neuropsychiatric disease and treatment · 2025
    Article
  14. Microfabrication Technologies for Nanoinvasive and High-Resolution Magnetic Neuromodulation.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    Review
  15. Article
  16. A pediatrician's guide to epilepsy surgery.Current problems in pediatric and adolescent health care · 2024
    Article
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Keith StarnesDepartment of Neurology, Mayo Clinic, Rochester, MN 55905, USA. starnes.donnie@mayo.edu.
Kai MillerDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN 55905, USA. miller.kai@mayo.edu.
Lily Wong-KisielDepartment of Neurology, Mayo Clinic, Rochester, MN 55905, USA. wongkisiel.lily@mayo.edu.
Brian Nils LundstromDepartment of Neurology, Mayo Clinic, Rochester, MN 55905, USA. Lundstrom.brian@mayo.edu.

Funding

ZESTRIL VS. VERAPAMIL IN THE TREATMENT OF HYPERTENSIONM01RR000585 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 1985 to 2006
$30.4M
Institutional Career Development CoreKL2TR002379 · NCATS · MAYO CLINIC ROCHESTER · PI NILUFER ERTEKIN-TANER · 2017 to 2026
$14.9M
NCATS NIH HHS KL2 TR002379NCRR NIH HHS M01 RR000585
6 · The paper itself

Abstract

Neurostimulation for epilepsy refers to the application of electricity to affect the central nervous system, with the goal of reducing seizure frequency and severity. We review the available evidence for the use of neurostimulation to treat pediatric epilepsy, including vagus nerve stimulation (VNS), responsive neurostimulation (RNS), deep brain stimulation (DBS), chronic subthreshold cortical stimulation (CSCS), transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS). We consider possible mechanisms of action and safety concerns, and we propose a methodology for selecting between available options. In general, we find neurostimulation is safe and effective, although any high quality evidence applying neurostimulation to pediatrics is lacking. Further research is needed to understand neuromodulatory systems, and to identify biomarkers of response in order to establish optimal stimulation paradigms.

Indexed as

chronic subthreshold cortical stimulationdeep brain stimulationdrug-resistant epilepsyneuromodulationpediatric neurostimulationresponsive neurostimulationtranscranial direct current stimulationtranscranial magnetic stimulationvagus nerve stimulation

Identifiers

PMID31635298
PMCPMC6826633

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.