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Epilepsy implants move toward sensing and less surgery

About a third of epilepsy patients do not respond to drugs. The US has approved three implanted stimulation therapies: VNS in 1997, NeuroPace RNS in 2013 and Medtronic's thalamic DBS in 2018. Only RNS senses intracranial EEG before stimulating.

PRECISIS, Adraxe and others are moving electrodes under the scalp or outside the skull. Most remain early; PRECISIS's roughly 200-patient pivotal trial has not read out.

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