Evidence map›Paper›PMID 37437189›Full record

ArticleEpilepsia open2023

An international survey of SEEG cortical stimulation practices.

Emily Cockle, Genevieve Rayner, Charles Malpas, Rubina Alpitsis, Sylvain Rheims, Terence J O'Brien, Andrew Neal

Open access · goldAbstract read
In one paragraph

Article in Epilepsia open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.2field-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

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
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  4. Beyond Broca and Wernicke: Epilepsy surgery in the language areas.Epileptic disorders : international epilepsy journal with videotape · 2026
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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

7 authors at 4 institutions in 3 countries.

Emily CockleDepartment of Neurology, Alfred Hospital, Melbourne, Victoria, Australia.ORCID 0000-0003-3289-2181
Genevieve RaynerDepartment of Neurology, Alfred Hospital, Melbourne, Victoria, Australia.ORCID 0000-0002-0747-3877
Charles MalpasDepartment of Neurology, Alfred Hospital, Melbourne, Victoria, Australia.ORCID 0000-0003-0534-3718
Rubina AlpitsisDepartment of Neurology, Alfred Hospital, Melbourne, Victoria, Australia.
Sylvain RheimsLyon Neurosciences Research Center (Inserm U1028, CNRS UMR5292, Lyon 1 University), Lyon, France.ORCID 0000-0002-4663-8515
Terence J O'BrienDepartment of Neurology, Alfred Hospital, Melbourne, Victoria, Australia.
Andrew NealDepartment of Neurology, Alfred Hospital, Melbourne, Victoria, Australia.ORCID 0000-0001-9251-5471
The Alfred Hospital · AUThe Royal Melbourne Hospital · AUThe University of Melbourne · AUUniversité Claude Bernard Lyon 1 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCortical stimulation is an important component of stereoelectroencephalography (SEEG). Despite this, there is currently no standardized approach and significant heterogeneity in the literature regarding cortical stimulation practices. Via an international survey of SEEG clinicians, we sought to examine the spectrum of cortical stimulation practices to reveal areas of consensus and variability.

methodsA 68-item questionnaire was developed to understand cortical stimulation practices including neurostimulation parameters, interpretation of epileptogenicity, functional and cognitive assessment and subsequent surgical decisions. Multiple recruitment pathways were pursued, with the questionnaire distributed directly to 183 clinicians.

resultsResponses were received from 56 clinicians across 17 countries with experience ranging from 2 to 60 years (M = 10.73, SD = 9.44). Neurostimulation parameters varied considerably, with maximum current ranging from 3 to 10 mA (M = 5.33, SD = 2.29) for 1 Hz and from 2 to 15 mA (M = 6.54, SD = 3.68) for 50 Hz stimulation. Charge density ranged from 8 to 200 μC/cm SIGNIFICANCE: SEEG cortical stimulation practices differed vastly across clinicians internationally, highlighting the need for consensus-based clinical guidelines. In particular, an internationally standardized approach to assessment, classification, and functional prognostication will provide a common clinical and research framework for optimizing outcomes for people with drug-resistant epilepsy.

Indexed as

ElectroencephalographyStereotaxic TechniquesElectrodes, ImplantedHumansSeizuresSurveys and Questionnairesdirect cortical stimulationepilepsymappingstereo-EEG

Identifiers

PMID37437189
PMCPMC10472359
OpenAlexW4384024131

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.