Evidence map›Paper›PMID 41584905›Full record

ArticleEpilepsy currents2026

Thalamic Neuromodulation: New Frontiers.

Janine Hsu, Rushna Ali, Ellen Air, Dario Englot, Carrie R Muh, R Mark Richardson, Richard Rammo

Abstract read
In one paragraph

Article in Epilepsy currents, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Janine HsuCleveland Clinic Foundation, Cleveland, OH, USA.ORCID https://orcid.org/0000-0001-6794-213X
Rushna AliMayo Clinic Rochester, Rochester, MN, USA.ORCID https://orcid.org/0009-0006-6422-8604
Ellen AirHenry Ford Health, Detroit, MI, USA.
Dario EnglotVanderbilt Health, Nashville, TN, USA.ORCID https://orcid.org/0000-0001-8373-690X
Carrie R MuhWestchester Medical Center, Valhalla, NY, USA.ORCID https://orcid.org/0000-0002-3764-4163
R Mark RichardsonMassachusetts General Hospital, Boston, MA, USA.
Richard RammoCleveland Clinic Foundation, Cleveland, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thalamic neuromodulation for drug-resistant epilepsy has evolved from ablative thalamotomy to network-guided deep-brain stimulation (DBS) and responsive neurostimulation (RNS). Currently, the only Food and Drug Administration-approved DBS target is the anterior thalamic nucleus, which provides substantial and durable seizure reduction, particularly in limbic and temporal epilepsies. There is growing evidence that the centromedian and pulvinar nuclei are implicated in generalized, multifocal, and posterior neocortical epilepsies. Advanced imaging, probabilistic atlases, and connectomics can be used to refine targeting; however, they are limited by patient specificity, acquisition burden, and interatlas variability. Thalamic stereoelectroencephalography may clarify potential neuromodulation target selection by characterizing ictal recruitment, network dynamics, and biomarkers. Although DBS and RNS each have unique benefits, no modality has demonstrated superior. Pediatric data are heterogeneous and scarcer, but seizure reduction and safety profiles are similar to adults. Further studies are needed to optimize neuromodulation target selection and programming paradigms.

Indexed as

deep brain stimulationdrug-resistant epilepsyneuromodulationresponsive neurostimulationstereoelectroencephalographythalamus

Identifiers

PMID41584905
PMCPMC12827044

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.