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Record W2620576811 · doi:10.1017/cjn.2017.115

P.030 Hippocampal deep brain stimulation provides drastic relief for intractable seizures

2017· article· en· W2620576811 on OpenAlexaffvenue
Alyssa Denton, Anshi Wu, A Vitali, JF Tellez-Zenteno

Bibliographic record

VenueCanadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques · 2017
Typearticle
Languageen
FieldMedicine
TopicNeurological disorders and treatments
Canadian institutionsSaskatoon Medical Imaging
Fundersnot available
KeywordsDeep brain stimulationEpilepsyMedicineStimulationAnesthesiaHippocampusHippocampal formationEpilepsy surgeryAnterior temporal lobectomyNeurosciencePsychologyInternal medicinePsychiatry

Abstract

fetched live from OpenAlex

Background: Deep brain stimulation (DBS) is the application of electrical currents via depth electrodes to regulate neuronal activity. DBS has been shown as a productive intervention for seizure control in patients with drug-resistance. This case had both a failed response to antiepileptic drugs (AEDs) and a temporal lobectomy. Methods: This case details the evolution of epilepsy in a 29-year-old female with seizures since the age of around 10. The patient has been followed for 6 months to monitor the treatment effects. No medication changes were made post-procedure. Results: The patient experienced a seizure frequency of 2-5 events per month. The patient had a right temporal lobectomy at age 12, which led to only 3 years in remission. The events are complex partial seizures characterized by unresponsive staring, lip smacking, hand automatisms and confusion. The patient failed 7 AEDs. Intracranial recording showed the most frequent activity coming from the left anterior and posterior hippocampus. Two depth electrodes were implanted accordingly. Stimulation began in September 2016 and the patient has since had only 2 seizures. Conclusions: Deep brain stimulation provides extensive relief for this case of intractable epilepsy. The patient’s level of awareness, mood, and quality of life all improved significantly in response to treatment.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Case report · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.005
Threshold uncertainty score0.016

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0050.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.041
GPT teacher head0.309
Teacher spread0.268 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designCase report
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2017
Admission routes2
Has abstractyes

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