Vagus nerve stimulator in patients with epilepsy: indications and recommendations for use

被引:20
作者
Terra, Vera C. [1 ,2 ]
Amorim, Ricardo [1 ]
Silvado, Carlos [1 ,2 ]
de Oliveira, Andrea Juliao [1 ]
Jorge, Carmen Lisa [1 ]
Faveret, Eduardo [1 ]
Ragazzo, Paulo [1 ]
De Paola, Luciano [1 ,2 ]
机构
[1] Comissao Neuromodulacao Liga Brasileira Epilepsia, Sao Paulo, Brazil
[2] Acad Brasileira Neurol, Dept Cient Epilepsia, Sao Paulo, Brazil
关键词
epilepsy; palliative procedures; vagus nerve stimulation; DRUG-RESISTANT EPILEPSY; VAGAL-STIMULATION; REFRACTORY EPILEPSY; SEIZURES; CHILDREN; SLEEP; NOREPINEPHRINE; EFFICACY; THERAPY; RATS;
D O I
10.1590/0004-282X20130116
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Epilepsy comprises a set of neurologic and systemic disorders characterized by recurrent spontaneous seizures, and is the most frequent chronic neurologic disorder. In patients with medically refractory epilepsy, therapeutic options are limited to ablative brain surgery, trials of experimental antiepileptic drugs, or palliative surgery. Vagal nerve stimulation is an available palliative procedure of which the mechanism of action is not understood, but with established efficacy for medically refractory epilepsy and Low incidence of side-effects. In this paper we discuss the recommendations for VNS use as suggested by the Brazilian League of Epilepsy and the Scientific Department of Epilepsy of the Brazilian Academy of Neurology Committee of Neuromodulation.
引用
收藏
页码:902 / 906
页数:5
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