Evidence map›Paper›PMID 32860345›Full record

ArticleAnnals of clinical and translational neurology2020

Centromedian thalamic responsive neurostimulation for Lennox-Gastaut epilepsy and autism.

Churl-Su Kwon, Alexander J Schupper, Madeline C Fields, Lara V Marcuse, Maite La Vega-Talbott, Fedor Panov, Saadi Ghatan

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 5% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Neurostimulation in children with drug-resistant epilepsy: strategies in subcortical targeting and systematic review of the evidence.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Pooled it
  2. Pooled it
  3. A guide to neuromodulation in drug-resistant epilepsy.Epileptic disorders : international epilepsy journal with videotape · 2026
    Review
  4. Observational
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. The thalamus: Structure, function, and neurotherapeutics.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
  12. Article
  13. The role of neuromodulation in the management of drug-resistant epilepsy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Review
  14. Review
  15. Article
  16. A pediatrician's guide to epilepsy surgery.Current problems in pediatric and adolescent health care · 2024
    Article
  17. Neurostimulation treatments for epilepsy: Deep brain stimulation, responsive neurostimulation and vagus nerve stimulation.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2024
    Review
  18. Review
  19. Review
  20. Characteristics of ictal thalamic EEG in pediatric-onset neocortical focal epilepsy.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2023
    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

7 authors at 1 institution in 1 country.

Churl-Su KwonDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID 0000-0001-9904-2240
Alexander J SchupperDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Madeline C FieldsDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Lara V MarcuseDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Maite La Vega-TalbottDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Fedor PanovDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Saadi GhatanDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Icahn School of Medicine at Mount Sinai · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The RNS System is not approved in patients under 18, although a critical need for novel treatment modalities in this vulnerable population persist. We present two pediatric patients with drug-resistant epilepsy secondary to Lennox-Gastaut Syndrome (LGS) and autism spectrum disorder (ASD) treated with the RNS System. Both patients have experienced 75-99% clinical seizure reductions in >1 year of follow-up. We illustrate that children with diffuse onset, multifocal epilepsy, including frontal and thalamic circuits thought to exist in the generation of LGS seizures, can be treated with responsive neurostimulation safely and effectively, targeting thalamic networks, and avoiding palliative disconnections and resections.

Indexed as

Autism Spectrum DisorderAutistic DisorderCerebral CortexChildDrug Resistant EpilepsyElectrodes, ImplantedEpilepsyHumansLennox Gastaut SyndromeMale

Identifiers

PMID32860345
PMCPMC7545608
OpenAlexW3081622415

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.