Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

3,006 questions · 3,171 findings · 607 reviews · Headline outcomes only

No studies found 411 · 13%GRADE not reported 153 · 4.8%Very low 968 · 30.5%Low 897 · 28.3%Moderate 589 · 18.6%High 153 · 4.8%

High vs low stimulation

50% or greater reduction in seizure frequency · people with focal seizures

High probably leads to higher 50% reduction in seizure frequency (responders) compared with low stimulation (moderate certainty).

1 finding from 1 review

High vs low stimulation

Voice Alteration or Hoarseness · people with focal seizures

High probably leads to higher voice alteration or hoarseness compared with low stimulation (moderate certainty).

1 finding from 1 review

High vs low stimulation

Paraesthesia · people with focal seizures

High showed no clear difference in paraesthesias compared with low stimulation (moderate certainty).

1 finding from 1 review