Table 2:
Result | Total | ANT-DBS | CM-DBS | RNS | CSS | VNS | P value |
---|---|---|---|---|---|---|---|
Median Seizure Frequency Reduction % (IQR) | 61 (IQR 5–90)§ | 52 (IQR 15–86) | 63 (IQR 0–85) | 50 (IQR 31–89) | 85 (IQR 57–100)† | 50 (IQR 0–90) | 0.07 |
Responder Rate % (n) | 60 (95) | 55 (21) | 58 (11) | 56 (17) | 81 (25) | 53 (21) | 0.14 |
Seizure freedom for at least 3 mo at last FU % (n) | 14 (22) | 11 (4) | 17 (5) | 29 (9) | 10 (4) | 0.04 | |
Median Convulsive Seizure Frequency Reduction % (IQR) | 70 (0–97)§ | 95 (25–100) | 63 (0–95)‡ | 63 (40–100) | 75 (30–100) | 54 (0–94)‡ | 0.57 |
Seizure Severity Improvement (Range)* | 2 (−4 to 9)§ | 2 (−3 to 7) | 2 (−3 to 7) | 2 (−4 to 7) | 3 (−3 to 8) | 3 (−3 to 9) | 0.51 |
Life Satisfaction Improvement (IQR)** | 2 (−7 to 9) § | 1 (−7 to 6) | 2 (−6 to 6) | 2 (−6 to 6) | 3 (−5 to 8) | 2 (−6 to 9) | 0.58 |
Quality of Sleep Improvement (IQR)** | 1 (−6 to 9)§ | 1 (−4 to 5) ‡ | 0 (−1 to 9) | 1 (−5 to 8) ‡ | 2 (−6 to 8) | 1 (−3 to 7) ‡ | 0.14 |
Follow-up Time mo (IQR) | 26 (13–52) | 23 (11–28) | 27 (17– 81) | 19 (10–30)‡ | 32 (9–59) | 50 (26–73) | <0.001 |
ANT-DBS, anterior thalamic nuclei deep brain stimulation; CM-DBS, centromedian thalamic nuclei deep brain stimulation; CSS, chronic subthreshold stimulation; IQR, interquartile range; mo, months; RNS, responsive neurostimulation; VNS, vagus nerve stimulation.
Pre-implantation value minus post-implantation value, higher numbers indicate a decrease in seizure severity, expressed as mean value with range.
Post-implantation value minus pre-implantation value, higher numbers indicate an increase in life satisfaction and quality of sleep, expressed as mean values with ranges.
p<0.001 Wilcoxon signed rank test compared to a median of 0
Significantly different in unadjusted pairwise comparisons (Mann-Whitney U) with ANT-DBS (p=0.01), CM-DBS (p=0.04), RNS (0.04) and VNS (p=0.02)
Not statistically significant on individual group test between pre and post implantation values (Wilcoxon signed-rank test)