Refractory epilepsy: interventional treatments

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Refractory epilepsy: interventional treatments. The anterior nucleus of the thalamus: this is the only FDA-approved target. The hippocampus.

Deep brain stimulation (DBS): targets

  • The anterior nucleus of the thalamus: this is the only FDA-approved target
  • The hippocampus
  • The centromedian nucleus

Deep brain stimulation (DBS): benefits

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Other forms of neurostimulation

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Epilepsy surgery

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Other interventions

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Synonyms

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References

  1. Beleza P. Refractory epilepsy: a clinically oriented review. Eur Neurol 2009; 62: 65-71.
  2. Krauss GL, Sperling MR. Treating patients with medically resistant epilepsy. Neurol Clin Pract 2011; 1: 14-22.
  3. Yassin A, Al-Kraimeen L, Qarqash A, et al. Deep brain stimulation targets in drug-resistant epilepsy: Systematic review and meta-analysis of effectiveness and predictors of response. Seizure 2024; 122:144-152.
  4. Chabardès S, Bartolomei F, Nica A, et al. Deep brain stimulation of the thalamus for intractable epilepsy (FRANCE study): a randomized clinical trial. Epilepsia 2026; 67:3318-3330.
  5. Li MCH, Cook MJ. Deep brain stimulation for drug-resistant epilepsy. Epilepsia. 2018; 59:273-290. 
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