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. 2022 Jun 20;16:886584. doi: 10.3389/fnins.2022.886584

TABLE 1.

An overview of the currently available treatments and treatment options under investigation for DRE patients.

Epilepsy surgery VNS DBS RNS eTNS rTMS tDCS tVNS FUS
Responder rate°,* ±70% 45–65% ±70% ±65% 30–50% ±30% ±50% 25–30% NA
FDA approved for epilepsy NA Yes Yes Yes No No No No No
Invasiveness High Moderate High High No No No No No
Spatial targeting resolution High NA High NA NA Low Low Low High
Targetable brain regions* Deep and superficial cortex (determined by target location) NA Deep and superficial cortex NA NA Superficial cortex ∼1–3.5 cm Undefined NA Deep cortex ∼10–15 cm
References Englot and Chang, 2014 Elliott et al., 2011; Toffa et al., 2020 Salanova, 2018; Foutz and Wong, 2021 Hartshorn and Jobst, 2018 DeGiorgio et al., 2013; Pack, 2013; Gil-López et al., 2020 Bystritsky et al., 2011; Deng et al., 2013, 2014; Cooper et al., 2017 San-Juan et al., 2017 Bauer et al., 2016 Bystritsky et al., 2011

Responder rate = the percentage of patients with at least 50% seizure frequency reduction, °for epilepsy surgery percentage of patients who become seizure-free. VNS, vagus nerve stimulation; DBS, deep brain stimulation; RNS, responsive neurostimulation; eTNS, external trigeminal nerve stimulation; rTMS, repetitive transcranial magnetic stimulation; tVNS, transcutaneous vagus nerve stimulation; FUS, focused ultrasound; NA, not applicable. *Numbers reported in systematic reviews or derived from recent trials (cfr. References in last row).