• Abhijeet Gummadavelli, Dario J Englot, Jason M Schwalb, Chengyuan Wu, Jorge Gonzalez-Martinez, Joseph Niemat, Jason L Gerrard, and American Society for Stereotactic and Functional Neurosurgeons.
• Department of Neurosurgery, Yale University School of Medicine, New Haven, Connecticut, USA.
• Neurosurgery. 2022 May 1; 90 (5): 636641636-641.

AbstractNeuromodulation has taken a foothold in the landscape of surgical treatment for medically refractory epilepsies and offers additional surgical treatment options for patients who are not candidates for resective/ablative surgery. Approximately one third of patients with epilepsy suffer with medication-refractory epilepsy. A persistent underuse of epilepsy surgery exists. Neuromodulation treatments including deep brain stimulation (DBS) expand the surgical options for patients with epilepsy and provide options for patients who are not candidates for resective surgery. DBS of the bilateral anterior nucleus of the thalamus is an Food and Drug Administration-approved, safe, and efficacious treatment option for patients with refractory focal epilepsy. The purpose of this consensus position statement is to summarize evidence, provide recommendations, and identify indications and populations for future investigation in DBS for epilepsy. The recommendations of the American Society of Functional and Stereotactic Neurosurgeons are based on several randomized and blinded clinical trials with high-quality data to support the use of DBS to the anterior nucleus of the thalamus for the treatment of refractory focal-onset seizures.Copyright © Congress of Neurological Surgeons 2022. All rights reserved.

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