Evidence map›Paper›PMID 34033253›Full record

ArticleEpilepsia open2021

Brain-Responsive Neurostimulation for the treatment of adults with epilepsy in tuberous sclerosis complex: A case series.

Danielle S McDermott, Emily A Mirro, Kirsten Fetrow, David E Burdette, Stephanie Chen, Jennifer Hopp, Todd Masel, Emily A Johnson, Felicia M K Elefant, Scheherazade Le and 3 more

Open access · goldAbstract read
In one paragraph

Article in Epilepsia open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 19 citations in OpenAlex.

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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

13 authors at 8 institutions in 1 country.

Danielle S McDermottUniversity of Colorado Anschutz Medical Campus, Aurora, CO, USA.ORCID 0000-0002-8171-0447
Emily A MirroNeuroPace, Inc., Mountain View, CA, USA.ORCID 0000-0001-7548-4634
Kirsten FetrowUniversity of Colorado Anschutz Medical Campus, Aurora, CO, USA.
David E BurdetteSpectrum Health System, Grand Rapids, MI, USA.ORCID 0000-0002-6235-2568
Stephanie ChenUniversity of Maryland Medical Center, Baltimore, MD, USA.ORCID 0000-0002-5919-5426
Jennifer HoppUniversity of Maryland Medical Center, Baltimore, MD, USA.ORCID 0000-0002-2326-0740
Todd MaselUniversity of Texas Medical Branch, Galveston, TX, USA.
Emily A JohnsonWashington University School of Medicine, St. Louis, MO, USA.
Felicia M K ElefantNeuroPace, Inc., Mountain View, CA, USA.ORCID 0000-0002-7266-9438
Scheherazade LeStanford University, Palo Alto, CA, USA.
Sanjay E PatraSpectrum Health System, Grand Rapids, MI, USA.
Mesha-Gay BrownUniversity of Colorado Anschutz Medical Campus, Aurora, CO, USA.ORCID 0000-0003-2470-3723
Zulfi HaneefBaylor College of Medicine, Houston, TX, USA.ORCID 0000-0002-0720-1417
University of Colorado Anschutz Medical Campus · USNeuroPace (United States) · USSpectrum Health · USUniversity of Maryland, Baltimore · USBaylor College of Medicine · USPalo Alto University · USThe University of Texas Medical Branch at Galveston · USWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTuberous sclerosis complex (TSC) is a genetic disorder primarily characterized by the development of multisystem benign tumors. Epilepsy is the most common neurologic manifestation, affecting 80%-90% of TSC patients. The diffuse structural brain abnormalities and the multifocal nature of epilepsy in TSC pose diagnostic challenges when evaluating patients for epilepsy surgery.

methodsWe retrospectively reviewed the safety experience and efficacy outcomes of five adult TSC patients who were treated with direct brain-responsive neurostimulation (RNS System, NeuroPace, Inc).

resultsThe average follow-up duration was 20 months. All five patients were responders (≥50% disabling seizure reduction) at last follow-up. The median reduction in disabling seizures was 58% at 1 year and 88% at last follow-up. Three of the five patients experienced some period of seizure freedom ranging from 3 months to over 1 year. SIGNIFICANCE: In this small case series, we report the first safety experience and efficacy outcomes in patients with TSC-associated drug-resistant focal epilepsy treated with direct brain-responsive neurostimulation.

Indexed as

Drug Resistant EpilepsyEpilepsyTuberous SclerosisAdultBrainHumansRetrospective Studiesrefractory epilepsyresponsive neurostimulationtuberous sclerosis complex

Identifiers

PMID34033253
PMCPMC8166788
OpenAlexW3133971260

What OpenQuestion holds

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LicenceCC BY
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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.