Deep brain stimulation of the subthalamic nucleus as adjunct treatment for refractory epilepsy.

Abstract:

PURPOSE:We studied the efficacy and safety of bilateral subthalamic deep brain stimulation (DBS) for refractory partial-onset epilepsy in two cases. METHODS:This was an open treatment pilot study for subjects who had failed numerous medications and had seizure injuries. Seizure counts and adverse events were collected during a 3-4 month baseline, and for 26-32 months after DBS surgery, with AEDs held constant. RESULTS:Case 1, age 45, with bitemporal seizures, had about half the seizure frequency but still fell with injuries. Case 2, age 46, with left frontal encephalomalacia, had a frequency reduction of about one-third, but a more meaningful reduction of seizure severity and injuries. CONCLUSIONS:Subthalamic DBS partly reduced partial-onset seizures, but the quality of life was more affected by seizure-related injuries.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Handforth A,DeSalles AA,Krahl SE

doi

10.1111/j.1528-1167.2006.00563.x

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

1239-41

issue

7

eissn

0013-9580

issn

1528-1167

pii

EPI563

journal_volume

47

pub_type

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