Table 2.
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.