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. Author manuscript; available in PMC: 2023 Jan 31.
Published in final edited form as: Epilepsia. 2022 Aug 9;63(10):2445–2460. doi: 10.1111/epi.17329

Table 2.

General efficacy: seizure reduction and responder rates

3mo 1yr 2yr 3yr 5yr Long term
(7-15yr)
Therapy Outcome
VNS
Responder rate 23-31%9-11 31-49%16,21,112,113 43%112 43-63%16,112 - 68-86%12,19
Median (or mean)* reduction in seizure freq. 25-28%9-11 26-52%12,13,16,21,112,113 44-58%12,112 44-63%12,16,112 30-60%12,13 52-76%12,13
6-month seizure-free intervals - 5%16 - 8%16 - -
12-month seizure-free intervals - - - - - 7-20%12,13,16-19
≥50% increase in seizures 4%11 3%21 - - - -
DBS
Responder rate - 43%6 54%6 67%6 68%22 74%15
Median reduction in seizure freq. 40%6 41%6 56%6 - 69%22 75%15
6-month seizure-free intervals - - - 13%6 16%22 18%15
12-month seizure-free intervals - - - 7%6 - -
≥50% increase in seizures - - - - 3%22 -
RNS
Responder rate 29%8 43%8 46%8 58-61%23 50-61%23 73%14
Median reduction in seizure freq. 38%8 44%23 53%23 60-66%23 48-66%23 75%14
6-month seizure-free intervals - - - - 23%23 28%14
12-month seizure-free intervals - - - - 13%23 18%14
≥50% increase in seizures - - - - 8%23 5%14

3-month data is for the prospective, blinded, and controlled studies, while later timepoints include unblinded/uncontrolled and retrospective studies. All seizure-freedom rates for VNS are from uncontrolled retrospective studies, hence there is a wide range of values reported.

*

Seizure reductions are quoted as medians where available, and means where medians not available.