Can a single AI foundation model deliver expert-level, comprehensive automated EEG interpretation across all major clinical settings (routine outpatient, epilepsy monitoring units, ICU, sleep labs) and across the full spectrum of clinically relevant patterns (seizures, epileptiform discharges, rhythmic and periodic patterns of the ictal–interictal–injury continuum, pathological slowing, sleep staging)?
In adults with focal or multifocal drug-resistant epilepsy who have already failed vagus nerve stimulation, does bilateral deep brain stimulation of the anterior nucleus of the thalamus (ANT-DBS) reduce severe seizure frequency at 12 months compared with continued best medical treatment (including VNS)?
FRANCE
Deep brain stimulation of the thalamus for intractable epilepsy (FRANCE study): A randomized clinical trial
Bottom Line: In this phase 3 randomized open-label trial of 61 adults with focal/multifocal epilepsy resistant to both drugs and VNS, ANT-DBS did not significantly outperform best medical treatment on the primary endpoint of ≥50% severe-seizure responder rate at 12 months (45% vs 27%, p=.14) or on median seizure reduction (−44% vs…