Evidence map›Paper›PMID 40980408›Full record

ArticleBrain communications2025

Thalamocortical network neuromodulation for epilepsy.

Shruti Agashe, Juan Luis Alcala-Zermeno, Gamaleldin M Osman, Keith Starnes, W Douglas Sheffield, Kent Leyde, Matt Stead, Benjamin H Brinkmann, Kai J Miller, Jamie J Van Gompel and 3 more

Abstract read
In one paragraph

Article in Brain communications, 2025. 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. Review
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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

13 authors.

Shruti AgasheDepartment of Neurology, Mayo Clinic, Rochester, MN 55905, USA.
Juan Luis Alcala-ZermenoDepartment of Neurology, Mayo Clinic, Rochester, MN 55905, USA.
Gamaleldin M OsmanDepartment of Neurology, Mayo Clinic, Rochester, MN 55905, USA.
Keith StarnesDepartment of Neurology, Mayo Clinic, Rochester, MN 55905, USA.
W Douglas SheffieldCadence Neuroscience, Redmond, WA 98052, USA.
Kent LeydeCadence Neuroscience, Redmond, WA 98052, USA.
Matt SteadDark Horse Neuro, Inc., Bozeman, MT 59718, USA.
Benjamin H BrinkmannDepartment of Neurology, Mayo Clinic, Rochester, MN 55905, USA.ORCID https://orcid.org/0000-0002-2392-8608
Kai J MillerDepartment of Neurosurgery, Mayo Clinic, Rochester, MN 55905, USA.
Jamie J Van GompelDepartment of Neurosurgery, Mayo Clinic, Rochester, MN 55905, USA.
Gregory A WorrellDepartment of Neurology, Mayo Clinic, Rochester, MN 55905, USA.
Brian N LundstromDepartment of Neurology, Mayo Clinic, Rochester, MN 55905, USA.ORCID https://orcid.org/0000-0002-5310-5549
Nicholas M GreggDepartment of Neurology, Mayo Clinic, Rochester, MN 55905, USA.ORCID https://orcid.org/0000-0002-6151-043X

Funding

Personalized Deep Brain Stimulation for EpilepsyK23NS136792 · NINDS · MAYO CLINIC ROCHESTER · PI Nicholas M Gregg · 2025 to 2026
$513k
NINDS NIH HHS K23 NS136792
6 · The paper itself

Abstract

Despite the growing interest in network-guided neuromodulation for epilepsy, uncertainty about the safety and long-term efficacy of thalamocortical stimulation persists. Our evaluation focused on the use of a four-lead open-loop implantable pulse generator for thalamocortical network neuromodulation. We retrospectively reviewed seven patients with diverse seizure networks-poorly localized, regional, or multifocal-undergoing thalamocortical neuromodulation. Employing a four-lead system, electrodes targeted both thalamic and cortical seizure network nodes. We assessed seizure severity, life satisfaction and sleep quality on a 10-point scale, and seizure frequency was assessed via telephone interviews and chart review. Outcomes were assessed by the Wilcoxon sign-rank test at the 0.05 significance level. Seven patients with a median age at implant of 22 years (range 14-42 years) had a median disabling seizure reduction of 93% (range 50-100%,

Indexed as

cortical stimulationdeep brain stimulation

Identifiers

PMID40980408
PMCPMC12448812

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.