NeurologyLive® Mind Moments®

133: Clinical Guidance on Neurostimulation for Lennox-Gastaut Syndrome


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Welcome to the NeurologyLive® Mind Moments® podcast. Tune in to hear leaders in neurology sound off on topics that impact your clinical practice.

In this episode, epilepsy expert Depobam Samanta, MD, MS, FAAP, FAES, sat down to discuss a recently published guidance paper from members of the Pediatric Epilepsy Research Consortium that provides recommendations for neuromodulation approaches to treat Lennox-Gastaut syndrome (LGS). Samanta, medical director of the Arkansas Children's Comprehensive Epilepsy Program, gave a clinical overview of the paper, highlighting the various neuromodulatory devices and their use, and the ways to improve treatment selection and personalization. Additionally, he talked about some of the potential complications with these devices as well as initiation and titration strategies for easy initiation. Furthermore, he spoke about ways to take neuromodulation to the next level, giving insight on creative trial designs, overcoming sham-controlled studies, and the necessary research to expand these approaches. 

Looking for more epilepsy discussion? Check out the NeurologyLive® Epilepsy clinical focus page.

Episode Breakdown:
  • 1:05 – Overview of the published guidance and reasons behind the paper 
  • 5:15 – Patient selection for neuromodulation and tailoring treatments by patient and preference
  • 8:25 – Overcoming complications with neuromodulation devices 
  • 11:25 – Multidisciplinary team necessary for successful implementation of neuromodulation
  • 13:15 – Neurology News Minute
  • 15:15 – Initiation and titration strategies for vagus nerve stimulation, deep brain stimulation, and resective surgery
  • 18:30 – Next steps in research and expanding neuromodulation for patients with LGS
  • 21:10 – Finding creative trial designs to test neuromodulation devices, combination approaches

    The stories featured in this week's Neurology News Minute, which will give you quick updates on the following developments in neurology, are further detailed here:

    • FDA Accepts BLA for Subcutaneous Autoinjector Formulation of Lecanemab
    • Cell Therapy Bemdaneprocel Advances to Phases 3 Registrational Trial in Parkinson Disease
    • Real-World Study Highlights Positive Treatment Benefits of Tofersen on ALS Disease Progression, Function

    • Thanks for listening to the NeurologyLive® Mind Moments® podcast. To support the show, be sure to rate, review, and subscribe wherever you listen to podcasts. For more neurology news and expert-driven content, visit neurologylive.com.
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