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.
机构:
NYU, Dept Neurosurg, Langone Med Ctr, New York, NY 10016 USANYU, Dept Neurosurg, Langone Med Ctr, New York, NY 10016 USA
Elliott, Robert E.
Rodgers, Shaun D.
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NYU, Dept Neurosurg, Langone Med Ctr, New York, NY 10016 USANYU, Dept Neurosurg, Langone Med Ctr, New York, NY 10016 USA
Rodgers, Shaun D.
Bassani, Luigi
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NYU, Dept Neurosurg, Langone Med Ctr, New York, NY 10016 USANYU, Dept Neurosurg, Langone Med Ctr, New York, NY 10016 USA
Bassani, Luigi
Morsi, Amr
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NYU, Dept Neurosurg, Langone Med Ctr, New York, NY 10016 USANYU, Dept Neurosurg, Langone Med Ctr, New York, NY 10016 USA
Morsi, Amr
Geller, Eric B.
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St Barnabas Hosp, Dept Neurol, Livingston, NJ USANYU, Dept Neurosurg, Langone Med Ctr, New York, NY 10016 USA
Geller, Eric B.
Carlson, Chad
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NYU, Dept Neurol, Langone Med Ctr, New York, NY 10016 USANYU, Dept Neurosurg, Langone Med Ctr, New York, NY 10016 USA
Carlson, Chad
Devinsky, Orrin
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NYU, Dept Neurosurg, Langone Med Ctr, New York, NY 10016 USA
NYU, Dept Neurol, Langone Med Ctr, New York, NY 10016 USA
NYU, Dept Psychiat, Langone Med Ctr, New York, NY 10016 USANYU, Dept Neurosurg, Langone Med Ctr, New York, NY 10016 USA
Devinsky, Orrin
Doyle, Werner K.
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NYU, Dept Neurosurg, Langone Med Ctr, New York, NY 10016 USANYU, Dept Neurosurg, Langone Med Ctr, New York, NY 10016 USA