Safety and Management of Implanted Epilepsy Devices for Imaging and Surgery

Brian N. Lundstrom, Chen Lin, D. Keith Starnes, Erik H. Middlebrooks, William Tatum, Sanjeet S. Grewal, Amy Z. Crepeau, Nicholas M. Gregg, Kai J. Miller, Jamie J. Van Gompel, Robert E. Watson

Research output: Contribution to journalReview articlepeer-review


Permanently implanted devices that deliver electrical stimulation are increasingly used to treat patients with drug-resistant epilepsy. Primary care physicians, neurologists, and epilepsy clinicians may encounter patients with a variety of implanted neuromodulation devices in the course of clinical care. Due to the rapidly changing landscape of available epilepsy-related neurostimulators, there may be uncertainty related to how these devices should be handled during imaging procedures and perioperative care. We review the safety and management of epilepsy-related implanted neurostimulators that may be encountered during imaging and surgery. We provide a summary of approved device labeling and recommendations for the practical management of these devices to help guide clinicians as they care for patients treated with bioelectronic medicine.

Original languageEnglish (US)
Pages (from-to)2123-2138
Number of pages16
JournalMayo Clinic proceedings
Issue number11
StatePublished - Nov 2022

ASJC Scopus subject areas

  • Medicine(all)


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