- What is the status of DBS for epilepsy? Find out in our new review/metaanalysis spearheaded by @laurenahart.bsky.social & Garance Meyer in JNNP: pubmed.ncbi.nlm.nih.gov/40666371/ A 🧵 — please RT for reach! 🙏Dec 19, 2025 22:19
- In a massive effort, Lauren compiled evidence from 124 studies, corresponding to 1210 patients and 20 distinct surgical targets – giving an unprecedented overview about how DBS to different targets works for different types of epilepsy.
- What is special about this metaanalysis is that Lauren also compiled stimulation locations across studies. She shows metaanalytic evidence that in ANT-DBS, proximity of stimulation sites to the mamillothalamic tract is associated with optimal seizure reduction – both on a study and patient level.
- For CM, localisation effects may be dependent on the form of epilepsy, with stimulation of the parvocellular CM being associated with better outcomes in generalised epilepsy.
- If you are interested in these topics, be sure to also check out the supplementary material which features a massive database with all the data Lauren and Garance compiled. There's certainly data worth for a few more studies and analyses in that dataset.
- Paper here: pubmed.ncbi.nlm.nih.gov/40666371/ Please RT for reach! 🙏