Vagal Nerve Stimulation in the Management of Epilepsy-Recent Concepts

被引：4
作者：
Doddamani, Ramesh Sharanappa [1 ]
Agrawal, Mohit [1 ]
Samala, Raghu [1 ]
Ramanujam, Bhargavi [2 ]
Chandra, Poodipedi Sarat [1 ]
Tripathi, Manjari [2 ]
机构：
[1] All India Inst Med Sci, Dept Neurosurg, New Delhi, India
[2] All India Inst Med Sci, Dept Neurol, New Delhi, India
来源：
NEUROLOGY INDIA | 2020年 / 68卷
关键词：
Drug refractory epilepsy; idiopathic generalized epilepsy; Lennox Gastaut syndrome; neuromodulation; partial-onset seizure; symptomatic generalized epilepsy; transcutaneous VNS; DRUG-RESISTANT EPILEPSY; VAGUS NERVE; INTRACTABLE EPILEPSY; CORPUS CALLOSOTOMY; STATUS EPILEPTICUS; ICTAL TACHYCARDIA; CONTROLLED-TRIAL; NCP SYSTEM; SEIZURES; THERAPY;
D O I：
10.4103/0028-3886.302475
中图分类号：
Q189 [神经科学];
学科分类号：
071006 ;
摘要：
Epilepsy surgery currently offers the best treatment for patients with drug-refractory epilepsy (DRE). Resective surgery, in the presence of a well-localized epileptogenic focus, remains the best modality towards achieving seizure freedom. However, localization of the focus may not be possible in all the cases of DRE, despite comprehensive epilepsy workup. Neuromodulation techniques such as vagal nerve stimulation (VNS), deep brain stimulation (DBS) and responsive neurostimulation (RNS) may be a good alternative in these cases. This article intends to provide an overview of VNS in the management of DRE, including indications, comprehensive preoperative workup, exemplified by case illustrations and outcomes by reviewing the evidence available in the literature.
引用
收藏
页码：259 / 267
页数：9
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