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Neurostimulation for the Management of Medication-Resistant Epilepsy

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Presentation on theme: "Neurostimulation for the Management of Medication-Resistant Epilepsy"— Presentation transcript:

1 Neurostimulation for the Management of Medication-Resistant Epilepsy

2

3 This program will include a discussion of devices used off-label and devices not approved by the FDA for use in the US

4 Background

5 Determination of DRE

6 Terminology

7 DRE: ILAE Guidelines

8 Prevalence and Consequences of DRE

9 Risk Factors for DRE

10 Changing Treatment Goals With DRE

11 Treatment Options for DRE

12 Number of Candidates for Neurostimulation Therapy

13 Neurostimulation Devices for Epilepsy

14 Heart-Brain Connection: Mechanisms and Prevalence of Cardiac Changes in Epilepsy

15 Vagus Nerve Stimulation Therapy: Patient Characteristics

16 Factors to Consider When Assessing Response to Antiseizure Therapy

17 Vagus Nerve Stimulation Therapy: Meta-Analysis of Efficacy

18 Vagus Nerve Stimulation: Later Response

19 Vagus Nerve Stimulation Therapy: Earlier Use Study

20 Long-Term Effectiveness of Vagus Nerve Stimulation: 50% Responder Rates

21 Randomized, Open, Prospective Trial of Vagus Nerve Stimulation on HRQoL

22 Impact of Vagus Nerve Stimulation on SUDEP

23 Responsive Neurostimulation: Patient Selection

24 Responsive Neurostimulation: Randomized, Double-Blind, Multicenter Trial

25 Responsive Neurostimulation Pivotal Study: 2-Year Responder Rates

26 Responsive Neurostimulation Pivotal Study: Seizure-Free Periods

27 Comparing Stimulation Techniques

28 Comparison of Device Outcomes

29 Conclusions

30 Abbreviations

31 Abbreviations


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