Evidence map›Paper›PMID 38764777›Full record

ArticleBrain communications2024

Targeting thalamocortical circuits for closed-loop stimulation in Lennox-Gastaut syndrome.

Aaron E L Warren, Christopher R Butson, Matthew P Hook, Linda J Dalic, John S Archer, Emma Macdonald-Laurs, Frederic L W V J Schaper, Lauren A Hart, Hargunbir Singh, Lise Johnson and 4 more

Abstract read
In one paragraph

Article in Brain communications, 2024. 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
–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.

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.

  1. A guide to neuromodulation in drug-resistant epilepsy.Epileptic disorders : international epilepsy journal with videotape · 2026
    Review
  2. Observational
  3. Review
  4. Short-Term Modulation of Epileptic Network with Low-Frequency Thalamic Stimulation.medRxiv : the preprint server for health sciences · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Clinical trials for Lennox-Gastaut syndrome: Challenges and priorities.Annals of clinical and translational neurology · 2024
    Review
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

14 authors.

Aaron E L WarrenDepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.ORCID https://orcid.org/0000-0001-6534-2800
Christopher R ButsonNormal Fixel Institute for Neurological Diseases, University of Florida, Gainesville, FL 32608, USA.
Matthew P HookNormal Fixel Institute for Neurological Diseases, University of Florida, Gainesville, FL 32608, USA.
Linda J DalicUniversity of Melbourne, Parkville, VIC 3052, Australia.ORCID https://orcid.org/0000-0001-8335-1348
John S ArcherUniversity of Melbourne, Parkville, VIC 3052, Australia.
Emma Macdonald-LaursUniversity of Melbourne, Parkville, VIC 3052, Australia.ORCID https://orcid.org/0000-0002-9894-4610
Frederic L W V J SchaperDepartment of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.ORCID https://orcid.org/0000-0001-5487-0923
Lauren A HartDepartment of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Hargunbir SinghDepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Lise JohnsonNeuroPace, Mountain View, CA 94043, USA.
Katie L BullingerDepartment of Neurology, Emory University Hospital, Atlanta, GA 30322, USA.
Robert E GrossDepartment of Neurosurgery, Emory University Hospital, Atlanta, GA 30322, USA.
Martha J MorrellNeuroPace, Mountain View, CA 94043, USA.
John D RolstonDepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.ORCID https://orcid.org/0000-0002-8843-5468

Funding

Thalamocortical Responsive Neurostimulation for the Treatment of Lennox-Gastaut SyndromeUH3NS109557 · NINDS · NEUROPACE, INC. · PI MORRELL, MARTHA J · 2021 to 2025
$9.7M
Using Brain Lesions and Deep Brain Stimulation to Identify an Epilepsy CircuitR01NS127892 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI MICHAEL D FOX · 2022 to 2026
$3.4M
NINDS NIH HHS R01 NS127892NINDS NIH HHS UH3 NS109557
6 · The paper itself

Abstract

This paper outlines the therapeutic rationale and neurosurgical targeting technique for bilateral, closed-loop, thalamocortical stimulation in Lennox-Gastaut syndrome, a severe form of childhood-onset epilepsy. Thalamic stimulation can be an effective treatment for Lennox-Gastaut syndrome, but complete seizure control is rarely achieved. Outcomes may be improved by stimulating areas beyond the thalamus, including cortex, but the optimal targets are unknown. We aimed to identify a cortical target by synthesizing prior neuroimaging studies, and to use this knowledge to advance a dual thalamic (centromedian) and cortical (frontal) approach for closed-loop stimulation. Multi-modal brain network maps from three group-level studies of Lennox-Gastaut syndrome were averaged to define the area of peak overlap: simultaneous EEG-functional MRI of generalized paroxysmal fast activity, [

Indexed as

epilepsyLennox–Gastaut syndromeMRIRNSthalamus

Identifiers

PMID38764777
PMCPMC11099664

What OpenQuestion holds

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Registered trials

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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.