Annals of Indian Academy of Neurology
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ARTICLE
Year : 2014  |  Volume : 17  |  Issue : 5  |  Page : 95-98

Brain stimulation for intractable epilepsy: Anterior thalamus and responsive stimulation


Department of Surgery, Division of Neurosurgery, Krembil Neuroscience Center, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada

Correspondence Address:
Andres M Lozano
Dan Family Chairman of Neurosurgery, University of Toronto, Toronto Western Hospital, 399 Bathurst Street, Toronto, Ontario, M5T 2S8
Canada
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Source of Support: RR Tasker Chair and Canada Research Chair, Conflict of Interest: None


DOI: 10.4103/0972-2327.128671

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Despite medications, resective surgery, and vagal nerve stimulation, some patients with epilepsy continue to have seizures. In these patients, other approaches are urgently needed. The biological basis of stimulation of anterior thalamic nucleus and epileptogenic focus is presented. Results from two large randomized controlled trials Stimulation of Anterior Nucleus of Thalamus for Epilepsy (SANTE) and Neuropace pivotal trial are discussed. Neuromodulation provides effective treatment for a select group of refractory epilepsy patients. Future investigations into the mechanism underlying 'response' to brain stimulation are desired.


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