High-Frequency Stimulation of the Centromedian Thalamic Nucleus Aborts Seizures and Ictal Apnea

Cody L. Nathan*, Jay R. Gavvala, Ganne Chaitanya, Elizabeth Cunningham, Jungwha Julia Lee, Scott Adney, Joshua Rosenow, Stephan Schuele, Elizabeth Gerard

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Summary:A 32-year-old right-handed woman presented with medically and surgically refractory left temporal neocortical epilepsy secondary to focal cortical dysplasia who underwent stereoelectroencephalography involving the centromedian nucleus of the thalamus. With the use of real-time stereoelectroencephalography monitoring, four electroclinical seizures were aborted by administering high-frequency stimulation at the centromedian nucleus at seizure onset. Seizures before stimulation were all associated with ictal apnea, while those with stimulation had no ictal apnea. This case demonstrates how providing high-frequency stimulation to the centromedian nucleus of the thalamus can abort electroclinical seizures and ictal apnea.

Original languageEnglish (US)
Pages (from-to)570-574
Number of pages5
JournalJournal of Clinical Neurophysiology
Volume41
Issue number6
DOIs
StatePublished - Sep 1 2024

Funding

G. Chaitanya receives funding for an NIH R25 grant NS113757.

Keywords

  • Centromedian nucleus
  • High-frequency stimulation
  • Neocortical epilepsy
  • Responsive neurostimulation
  • Stereo-EEG

ASJC Scopus subject areas

  • Physiology
  • Neurology
  • Clinical Neurology
  • Physiology (medical)

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