Epilepsy affects over 65 million people worldwide. One-third of people with epilepsy do not respond to medication and may benefit from surgery. Vagus nerve stimulation (VNS) is the first neuromodulation therapy for the treatment of drug-resistant epilepsy. This method is used in combination with anti-seizure medications in adults and in the pediatric population. VNS has also been demonstrated to have benefits for some epilepsy comorbidities, such as depression, and can be used in combination with other neuromodulation therapies in epilepsy. The authors present an overview of VNS physiology, patient selection, surgery and risks, neuromodulation therapy, and application to epilepsy comorbidities.
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Univ Liverpool, Clin Sci Ctr Res & Educ, Inst Translat Med, Dept Mol & Clin Pharmacol, Lower Lane, Liverpool L9 7LJ, Merseyside, EnglandUniv Liverpool, Clin Sci Ctr Res & Educ, Inst Translat Med, Dept Mol & Clin Pharmacol, Lower Lane, Liverpool L9 7LJ, Merseyside, England
Panebianco, Mariangela
Zavanone, Chiara
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Hop La Pitie Salpetriere, AP HP, Rehabil Unit, 47-83 Blvd Hop, F-75013 Paris, FranceUniv Liverpool, Clin Sci Ctr Res & Educ, Inst Translat Med, Dept Mol & Clin Pharmacol, Lower Lane, Liverpool L9 7LJ, Merseyside, England
Zavanone, Chiara
Dupont, Sophie
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Hop La Pitie Salpetriere, AP HP, Rehabil Unit, 47-83 Blvd Hop, F-75013 Paris, France
Hop La Pitie Salpetriere, AP HP, Epilepsy Unit, 47-83 Blvd Hop, F-75013 Paris, France
Univ Paris 06, Ctr Rech, ICM, INSERM,CNRS UMRS 975,UMR 7225, 4 Pl Jussieu, F-75005 Paris, FranceUniv Liverpool, Clin Sci Ctr Res & Educ, Inst Translat Med, Dept Mol & Clin Pharmacol, Lower Lane, Liverpool L9 7LJ, Merseyside, England
Dupont, Sophie
Restivo, Domenico A.
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Garibaldi Hosp, Dept Internal Med, Neurol Unit, 5 Piazza Santa Maria Di Gesu, I-95124 Catania, ItalyUniv Liverpool, Clin Sci Ctr Res & Educ, Inst Translat Med, Dept Mol & Clin Pharmacol, Lower Lane, Liverpool L9 7LJ, Merseyside, England
Restivo, Domenico A.
Pavone, Antonino
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Garibaldi Hosp, Dept Internal Med, Neurol Unit, 5 Piazza Santa Maria Di Gesu, I-95124 Catania, ItalyUniv Liverpool, Clin Sci Ctr Res & Educ, Inst Translat Med, Dept Mol & Clin Pharmacol, Lower Lane, Liverpool L9 7LJ, Merseyside, England
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Univ Calif San Francisco, Dept Neurol Surg, Epilepsy Ctr, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Neurol Surg, Epilepsy Ctr, San Francisco, CA 94143 USA
Englot, Dario J.
Chang, Edward F.
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Univ Calif San Francisco, Dept Neurol Surg, Epilepsy Ctr, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Neurol Surg, Epilepsy Ctr, San Francisco, CA 94143 USA
Chang, Edward F.
Auguste, Kurtis I.
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Univ Calif San Francisco, Dept Neurol Surg, Epilepsy Ctr, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Neurol Surg, Epilepsy Ctr, San Francisco, CA 94143 USA
机构:University of Liverpool,Department of Molecular and Clinical Pharmacology, Institute of Translational Medicine, Clinical Sciences Centre for Research and Education, Lower Lane
Mariangela Panebianco
Chiara Zavanone
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机构:University of Liverpool,Department of Molecular and Clinical Pharmacology, Institute of Translational Medicine, Clinical Sciences Centre for Research and Education, Lower Lane
Chiara Zavanone
Sophie Dupont
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机构:University of Liverpool,Department of Molecular and Clinical Pharmacology, Institute of Translational Medicine, Clinical Sciences Centre for Research and Education, Lower Lane
Sophie Dupont
Domenico A. Restivo
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机构:University of Liverpool,Department of Molecular and Clinical Pharmacology, Institute of Translational Medicine, Clinical Sciences Centre for Research and Education, Lower Lane
Domenico A. Restivo
Antonino Pavone
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机构:University of Liverpool,Department of Molecular and Clinical Pharmacology, Institute of Translational Medicine, Clinical Sciences Centre for Research and Education, Lower Lane
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Centura Hlth Phys Grp, Neurosci & Spine, Centennial, CO USAUniv Colorado, Dept Neurol, Boulder, CO 80309 USA
Brown, Mesha-Gay
Sillau, Stefan
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Univ Colorado, Dept Neurol, Boulder, CO 80309 USAUniv Colorado, Dept Neurol, Boulder, CO 80309 USA
Sillau, Stefan
McDermott, Danielle
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机构:Univ Colorado, Dept Neurol, Boulder, CO 80309 USA
McDermott, Danielle
Ernst, Lia D.
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Univ Colorado, Dept Neurol, Boulder, CO 80309 USA
Oregon Hlth & Sci Univ, Dept Neurol, Portland, OR 97201 USAUniv Colorado, Dept Neurol, Boulder, CO 80309 USA
Ernst, Lia D.
Spencer, David C.
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Oregon Hlth & Sci Univ, Dept Neurol, Portland, OR 97201 USAUniv Colorado, Dept Neurol, Boulder, CO 80309 USA
Spencer, David C.
Englot, Dario J.
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Vanderbilt Univ, Dept Neurol Surg, Med Ctr, Nashville, TN USAUniv Colorado, Dept Neurol, Boulder, CO 80309 USA
Englot, Dario J.
Gonzalez, Hernan F. J.
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Vanderbilt Univ, Dept Biomed Engn, 221 Kirkland Hall, Nashville, TN 37235 USAUniv Colorado, Dept Neurol, Boulder, CO 80309 USA
Gonzalez, Hernan F. J.
Datta, Proleta
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Univ Nebraska Med Ctr, Dept Neurolv, Omaha, NE USAUniv Colorado, Dept Neurol, Boulder, CO 80309 USA
Datta, Proleta
Karakis, Ioannis
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Emory Univ, Dept Neurol, Sch Med, Atlanta, GA USAUniv Colorado, Dept Neurol, Boulder, CO 80309 USA
Karakis, Ioannis
Becker, Danielle
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Univ Penn, Dept Neurol, Philadelphia, PA 19104 USAUniv Colorado, Dept Neurol, Boulder, CO 80309 USA
Becker, Danielle
Rolston, John D.
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Univ Utah, Dept Neurosurg, Salt Lake City, UT USA
Univ Utah, Dept Biomed Engn, Salt Lake City, UT USAUniv Colorado, Dept Neurol, Boulder, CO 80309 USA
Rolston, John D.
Arain, Amir
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Univ Utah, Dept Neurol, Salt Lake City, UT USAUniv Colorado, Dept Neurol, Boulder, CO 80309 USA
Arain, Amir
Rao, Vikram R.
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Univ Calif San Francisco, Dept Neurol, San Francisco, CA 94143 USA
Univ Calif San Francisco, Weill Inst Neurosci, San Francisco, CA 94143 USAUniv Colorado, Dept Neurol, Boulder, CO 80309 USA
Rao, Vikram R.
Doherty, Michael
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Swedish Neurosci Inst, Dept Neurol, Seattle, WA USAUniv Colorado, Dept Neurol, Boulder, CO 80309 USA
Doherty, Michael
Urban, Alexandra
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Univ Pittsburgh, Dept Neurol, Pittsburgh, PA 15260 USAUniv Colorado, Dept Neurol, Boulder, CO 80309 USA
Urban, Alexandra
Drees, Cornelia
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Univ Colorado, Dept Neurol, Boulder, CO 80309 USA
Mayo Clin Arizona, Dept Neurol, Phoenix, AZ USAUniv Colorado, Dept Neurol, Boulder, CO 80309 USA
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China Acad Chinese Med Sci, Inst Acupuncture & Moxibust, Beijing 100700, Peoples R ChinaChina Acad Chinese Med Sci, Inst Acupuncture & Moxibust, Beijing 100700, Peoples R China
He, Wei
Jing, Xianghong
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China Acad Chinese Med Sci, Inst Acupuncture & Moxibust, Beijing 100700, Peoples R ChinaChina Acad Chinese Med Sci, Inst Acupuncture & Moxibust, Beijing 100700, Peoples R China
Jing, Xianghong
Wang, Xiaoyu
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China Acad Chinese Med Sci, Inst Acupuncture & Moxibust, Beijing 100700, Peoples R ChinaChina Acad Chinese Med Sci, Inst Acupuncture & Moxibust, Beijing 100700, Peoples R China
Wang, Xiaoyu
Rong, Peijing
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China Acad Chinese Med Sci, Inst Acupuncture & Moxibust, Beijing 100700, Peoples R ChinaChina Acad Chinese Med Sci, Inst Acupuncture & Moxibust, Beijing 100700, Peoples R China
Rong, Peijing
Li, Liang
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China Acad Chinese Med Sci, Inst Acupuncture & Moxibust, Beijing 100700, Peoples R ChinaChina Acad Chinese Med Sci, Inst Acupuncture & Moxibust, Beijing 100700, Peoples R China
Li, Liang
Shi, Hong
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China Acad Chinese Med Sci, Inst Acupuncture & Moxibust, Beijing 100700, Peoples R ChinaChina Acad Chinese Med Sci, Inst Acupuncture & Moxibust, Beijing 100700, Peoples R China
Shi, Hong
Shang, Hongyan
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China Acad Chinese Med Sci, Inst Acupuncture & Moxibust, Beijing 100700, Peoples R ChinaChina Acad Chinese Med Sci, Inst Acupuncture & Moxibust, Beijing 100700, Peoples R China
Shang, Hongyan
Wang, Yuping
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Capital Med Univ, Xuanwu Hosp, Beijing, Peoples R ChinaChina Acad Chinese Med Sci, Inst Acupuncture & Moxibust, Beijing 100700, Peoples R China
Wang, Yuping
Zhang, Jianguo
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Capital Med Univ, Tiantan Hosp, Beijing, Peoples R ChinaChina Acad Chinese Med Sci, Inst Acupuncture & Moxibust, Beijing 100700, Peoples R China
Zhang, Jianguo
Zhu, Bing
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China Acad Chinese Med Sci, Inst Acupuncture & Moxibust, Beijing 100700, Peoples R ChinaChina Acad Chinese Med Sci, Inst Acupuncture & Moxibust, Beijing 100700, Peoples R China