A, Onset of modulation effects in weeks after activation of the stimulation treatment. B, Percentages of the reductions in seizure frequency, severity, and duration compared with preimplantation baseline readings (left y-axis) and Engel scale scores (right y-axis) for patients having only direct effects and for those having indirect effects. The Engel scale consists of 4 classes (I-IV) in which lower numbers indicate greater improvement; class III or better defines a clinical responder. Internal line indicates median; box ends, first and third quartile; and limit lines, minimum and maximum values.