Evidence map›Paper›PMID 39412361›Full record

ReviewEpilepsia2024

Vagus nerve stimulation for epilepsy: A narrative review of factors predictive of response.

Harry J Clifford, Menaka P Paranathala, Yujiang Wang, Rhys H Thomas, Tiago da Silva Costa, John S Duncan, Peter N Taylor

Abstract readReview
In one paragraph

Review in Epilepsia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Factors predicting the response to vagus nerve stimulation (VNS) in pediatric patients with drug- resistant epilepsy: a systematic review and meta-analysis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Pooled it
  3. Antiepileptic and antiepileptogenic effects ofIBRO neuroscience reports · 2026
    Article
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  9. Surgical re-evaluation patterns among pediatric vagus nerve stimulation non-responders: a single-center retrospective study.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  10. Article
  11. Review
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  13. Preoperative MEG reveals differential brain network characteristics in drug-resistant epilepsy patients based on vagus nerve stimulation response.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
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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.

Harry J CliffordComputational Neurology Neurosicence and Psychiatry Lab, School of Computing, Newcastle University, Newcastle Upon Tyne, UK.
Menaka P ParanathalaNeurosciences, Royal Victoria Infirmary, Newcastle Upon Tyne, UK.
Yujiang WangComputational Neurology Neurosicence and Psychiatry Lab, School of Computing, Newcastle University, Newcastle Upon Tyne, UK.ORCID https://orcid.org/0000-0002-4847-6273
Rhys H ThomasNeurosciences, Royal Victoria Infirmary, Newcastle Upon Tyne, UK.ORCID https://orcid.org/0000-0003-2062-8623
Tiago da Silva CostaFaculty of Medical Sciences, Newcastle University, Newcastle Upon Tyne, UK.
John S DuncanUCL Queen Square Institute of Neurology, London, UK.
Peter N TaylorComputational Neurology Neurosicence and Psychiatry Lab, School of Computing, Newcastle University, Newcastle Upon Tyne, UK.ORCID https://orcid.org/0000-0003-2144-9838

Funding

UKRI MR/T04294X/1UKRI MR/V026569/1
6 · The paper itself

Abstract

Vagus nerve stimulation (VNS) is an established therapy for drug-resistant epilepsy. However, there is a lack of reliable predictors of VNS response in clinical use. The identification of factors predictive of VNS response is important for patient selection and stratification as well as tailored stimulation programming. We conducted a narrative review of the existing literature on prognostic markers for VNS response using clinical, demographic, biochemical, and modality-specific information such as from electroencephalography (EEG), magnetoencephalography, and magnetic resonance imaging (MRI). No individual marker demonstrated sufficient predictive power for individual patients, although several have been suggested, with some promising initial findings. Combining markers from underresearched modalities such as T1-weighted MRI morphometrics and EEG may provide better strategies for treatment optimization.

Indexed as

EpilepsyVagus Nerve StimulationDrug Resistant EpilepsyElectroencephalographyHumansMagnetic Resonance ImagingMagnetoencephalographyPrognosisTreatment OutcomeEEGMRIpredictionVagus nerve stimulationVNS

Identifiers

PMID39412361
PMCPMC11647441

What OpenQuestion holds

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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.