TABLE 1.
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).