Evidence map›Paper›PMID 40252213›Full record

ArticleEpilepsia2025

Frequency-specific alterations in brain connectivity induced by pulvinar stimulation.

Emma Acerbo, Aude Jegou, Stanislas Lagarde, Francesca Pizzo, Julia Makhalova, Agnès Trébuchon, Christian-George Bénar, Fabrice Bartolomei, Romain Carron

Abstract read
In one paragraph

Article in Epilepsia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

9 authors.

Emma AcerboAix Marseille Université, INSERM, Institut de Neurosciences des Systèmes, Marseille, France.ORCID https://orcid.org/0000-0002-9477-4845
Aude JegouAix Marseille Université, INSERM, Institut de Neurosciences des Systèmes, Marseille, France.
Stanislas LagardeAix Marseille Université, INSERM, Institut de Neurosciences des Systèmes, Marseille, France.
Francesca PizzoAix Marseille Université, INSERM, Institut de Neurosciences des Systèmes, Marseille, France.ORCID https://orcid.org/0000-0001-6345-1288
Julia MakhalovaAix Marseille Université, INSERM, Institut de Neurosciences des Systèmes, Marseille, France.ORCID https://orcid.org/0000-0001-7962-2942
Agnès TrébuchonAix Marseille Université, INSERM, Institut de Neurosciences des Systèmes, Marseille, France.
Christian-George BénarAix Marseille Université, INSERM, Institut de Neurosciences des Systèmes, Marseille, France.
Fabrice BartolomeiAix Marseille Université, INSERM, Institut de Neurosciences des Systèmes, Marseille, France.
Romain CarronAix Marseille Université, INSERM, Institut de Neurosciences des Systèmes, Marseille, France.ORCID https://orcid.org/0000-0002-4723-7406

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDeep brain stimulation (DBS) is emerging as a promising therapy for patients with drug-resistant epilepsy, particularly those who are either unsuitable for or unresponsive to resective surgery. The potential benefit of DBS in these patients may stem from its ability to reduce excessive brain functional connectivity (FC). Given that patients undergoing presurgical evaluation in our institution are implanted with stereoelectroencephalographic (SEEG) electrodes in the thalamus, specifically in the pulvinar medialis (PuM), our aim was to investigate the impact of different stimulation frequencies on brain FC. We sought to determine whether specific frequencies were more effective in modulating FC.

methodsSEEG was used to investigate the effects of PuM stimulation across a broad frequency range (1-200 Hz) in a cohort of 14 patients with drug-resistant focal epilepsy. FC was assessed using the nonlinear correlation coefficient (h

resultsOur findings revealed a reduction in FC at stimulation frequencies of 10 Hz and >90 Hz, contrasting with an increase in FC in the 20-80-Hz range. This modulation of FC extended beyond the epileptogenic zone, influencing all assessed brain lobes, with the parietal, insular, and subcortical regions particularly affected by high-frequency stimulation. Within the epileptogenic zone, however, the observed FC changes were notably more complex. SIGNIFICANCE: These results underscore the potential of high-frequency stimulation to decrease interictal FC in epilepsy patients, although intermediate frequencies may exacerbate it and warrant caution. Crucially, this study highlights the effects of PuM stimulation on FC patterns, supporting the role of high-frequency thalamic stimulation as a promising DBS parameter for improving epilepsy management strategies.

Indexed as

BrainDeep Brain StimulationDrug Resistant EpilepsyEpilepsies, PartialPulvinarAdolescentAdultElectrodes, ImplantedElectroencephalographyFemaleHumansMaleMiddle AgedNerve NetNeural PathwaysYoung Adultdeep brain stimulationdrug‐resistant epilepsyfrequency of stimulationfunctional connectivityneuromodulationSEEG

Identifiers

PMID40252213
PMCPMC12371610

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LicenceCC BY-NC-ND
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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.