This study provides Class III evidence that sirolimus does not significantly reduce seizure frequency in children with TSC and intractable epilepsy. The study lacked the precision to exclude a benefit from sirolimus.

Fully implantable wireless intra-cortical Brain Machine Interfaces (iBMI) is one of the most promising next frontiers in the nascent field of neurotechnology. However, scaling the number of channels in such systems by another 10X is difficult due to power and bandwidth requirements of the wireless transmitter. One promising solution for that is to include more processing, up to the decoder, in the implant so that transmission data rate is reduced drastically. Earlier work on neuromorphic decoders only showed classification of discrete states. We present results for continuous state decoding using a low power neuromorphic decoder chip termed Spike-input Extreme Learning Machine (SELMA). We compared SELMA against state of the art Steady State Kalman Filter (SSKF) across two different datasets involving a total of 4 non-human primates (NHPs). Results show at least a 10% or more increase in the fraction of variance accounted for by SELMA over SSKF across the datasets. Furthermore, estimated energy consumption comparison shows SELMA consuming ≈ 9 nJ/update against SSKF's ≈ 7.4 nJ/update for an iBMI with a 10 degree of freedom control. Thus, SELMA yields better performance against SSKF with a marginal increase in energy consumption paving the way for reducing transmission data rates in future scaled BMI systems.

This paper presents for the first time a real-time closed loop neuromorphic decoder chip-driven intra-cortical brain machine interface (iBMI) in a non-human primate (NHP) based experimental setup. Decoded results show trial success rates and mean times to target comparable to those obtained by hand-controlled joystick. Neural control trial success rates of ≈ 96% of those obtained by hand-controlled joystick have been demonstrated. Also, neural control has shown mean target reach speeds of ≈ 85% of those obtained by hand-controlled joystick . These results pave the way for fast and accurate, fully implantable neuromorphic neural decoders in iBMIs.