Centromedian thalamic nucleus with or without anterior thalamic nucleus deep brain stimulation for epilepsy in children and adults: A retrospective case series

Juan Luis Alcala-Zermeno, Nicholas M. Gregg, Elaine C. Wirrell, Squire Matthew Stead, Gregory A. Worrell, Jamie Van Gompel, Brian Nils Lundstrom

Research output: Contribution to journalArticlepeer-review

Abstract

The centromedian (CM) and anterior nucleus of the thalamus (ANT) are deep brain stimulation (DBS) targets for management of generalized, and focal drug resistant epilepsy (DRE), respectively. We report on a single center retrospective case series of 16 children and adults with DRE who underwent CM with simultaneous ANT (69 %) or CM without simultaneous ANT DBS (31 %). Seizure frequency, epilepsy severity, life satisfaction, and quality of sleep before and after DBS were compared. Baseline median seizure frequency was 323 seizures per month (IQR, 71–563 sz/mo). Median follow up time was 80 months (IQR 37–97 mo). Median seizure frequency reduction was 58 % (IQR 13–87 %, p = 0.002). Ten patients (63 %) reported ≥50 % seizure frequency reduction. Median seizure frequency reduction and responder rate were not significantly different for CM + ANT versus CM only. Seizure severity and life satisfaction were significantly improved. Three patients (19 %) developed device-related side effects, 2 of them (12.5 %) required surgical intervention. In a heterogenous population of children and adults with generalized, multifocal, posterior onset, and poorly localized DRE, CM with or without ANT DBS is feasible, relatively safe and is associated with reduced seizure frequency and severity, as well as improved life satisfaction.

Original languageEnglish (US)
Pages (from-to)101-107
Number of pages7
JournalSeizure
Volume84
DOIs
StatePublished - Jan 2021

Keywords

  • Anterior nucleus
  • Centromedian
  • Deep brain stimulation
  • Epilepsy
  • Seizure
  • Thalamus

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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