Evidence map›Paper›PMID 38514531›Full record

ArticleActa neurochirurgica2024

Technical note: preliminary surgical experience with a new implantable epicranial stimulation device for chronic focal cortex stimulation in drug-resistant epilepsy.

Volker A Coenen, Nadja Jarc, Martin Hirsch, Peter C Reinacher, Bernhard J Steinhoff, Thomas Bast, Andreas Schulze-Bonhage, Bastian E A Sajonz

Open access · hybridAbstract read
In one paragraph

Article in Acta neurochirurgica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

8 authors at 2 institutions in 1 country.

Volker A CoenenDepartment of Stereotactic and Functional Neurosurgery, Medical Center of Freiburg University, Breisacher Straße, 64-79106, Freiburg, Germany. volker.coenen@uniklinik-freiburg.de.ORCID 0000-0002-1703-6283
Nadja JarcDepartment of Stereotactic and Functional Neurosurgery, Medical Center of Freiburg University, Breisacher Straße, 64-79106, Freiburg, Germany.
Martin HirschEpilepsy Center, Neurocenter, Medical Center of Freiburg University, Breisacher Straße, 64-79106, Freiburg, Germany.
Peter C ReinacherDepartment of Stereotactic and Functional Neurosurgery, Medical Center of Freiburg University, Breisacher Straße, 64-79106, Freiburg, Germany.
Bernhard J SteinhoffMedical Faculty of Freiburg University, Freiburg, Germany.
Thomas BastKork Epilepsy Center, Kehl-Kork, Germany.
Andreas Schulze-BonhageEpilepsy Center, Neurocenter, Medical Center of Freiburg University, Breisacher Straße, 64-79106, Freiburg, Germany.
Bastian E A SajonzDepartment of Stereotactic and Functional Neurosurgery, Medical Center of Freiburg University, Breisacher Straße, 64-79106, Freiburg, Germany.
University Medical Center Freiburg · DEDiakonie Kork · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study is to report some preliminary surgical considerations and outcomes after the first implantations of a new and commercially available implantable epicranial stimulation device for focal epilepsy.

methodsWe retrospectively analyzed data from clinical notes. Outcome parameters were as follows: wound healing, surgery time, and adverse events.

resultsFive patients were included (17-52 y/o; 3 female). Epicranial systems were uneventfully implanted under neuronavigation guidance. Some minor adverse events occurred. Wound healing in primary intention was seen in all patients. Out of these surgeries, certain concepts were developed: Skin incisions had to be significantly larger than expected. S-shaped incisions appeared to be a good choice in typical locations behind the hairline. Preoperative discussions between neurologist and neurosurgeon are mandatory in order to allow for the optimal coverage of the epileptogenic zone with the electrode geometry.

conclusionIn this first small series, we were able to show safe implantation of this new epicranial stimulation device. The use of neuronavigation is strongly recommended. The procedure is simple but not trivial and ideally belongs in the hands of a neurosurgeon.

Indexed as

Drug Resistant EpilepsyEpilepsyCerebral CortexElectrodes, ImplantedFemaleHumansRetrospective StudiesTreatment OutcomeChronic epicranial focal cortex stimulationDrug-resistant epilepsyNeuromodulationSurgical experience

Identifiers

PMID38514531
PMCPMC10957708
OpenAlexW4393092201

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.