Different modalities of invasive neurostimulation for epilepsy

被引:6
作者
A. Alomar, Soha [1 ]
J. Saeedi, Rothaina [1 ]
机构
[1] King Abdulaziz Univ, Fac Med, Dept Surg, Div Neurosurg, POB 80215, Jeddah 21589, Saudi Arabia
关键词
Epilepsy; Seizure; Stimulation; NeuroPace; VNS; RNS; VAGUS NERVE-STIMULATION; DEEP BRAIN-STIMULATION; RESPONSIVE CORTICAL STIMULATION; RANDOMIZED CONTROLLED-TRIAL; ANTERIOR THALAMIC NUCLEUS; SUDDEN UNEXPECTED DEATH; QUALITY-OF-LIFE; ELECTRICAL-STIMULATION; INTRACTABLE EPILEPSY; REFRACTORY SEIZURES;
D O I
10.1007/s10072-020-04614-z
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Epilepsy affects 1% of the general population, about one-third of which is pharmacologically resistant. Uncontrolled seizures are associated with an increased risk of traumatic injury and sudden unexpected death of epilepsy. There is a considerable psychological and financial burden on caregivers of patients with epilepsy, particularly among pediatric patients. Epilepsy surgery, when indicated, is the most promising cure for epilepsy. However, when surgery is contraindicated or refused by the patient, neurostimulation is an alternative palliative approach, albeit with a lower chance of entirely curing patients of seizures. There are many options for neurostimulation. The three most commonly used invasive neurostimulation procedures that consistently show evidence of being safe and efficacious are vagal nerve stimulation, responsive neuro stimulation, or anterior thalamic nucleus deep brain stimulation. The goal of this review is to summarize the current evidence supporting the use of these three techniques, which are approved by most regulatory bodies, and discuss different factors that may enable epilepsy surgeons to choose the most appropriate modality for each patient.
引用
收藏
页码:3527 / 3536
页数:10
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