In patients with confirmed medically refractory bitemporal epilepsy, how do you decide on DBS vs RNS for treatment?  

While the data suggests that the two interventions have similar efficacy (up to ~70% reduction in seizures on average in responders), the RNS provides the benefit of long-term electrocorticography. Over time, it may become apparent that the majority of the patient’s seizures come from one side...