“…Second, the vagus nerve has widespread projections to nuclei in the brainstem and to all cortical regions, as well as to the thalamus, hippocampus, and amygdala, where they modulate the activity of target cells and networks [1,2]. In addition, there are strong reciprocal connections between the different neuromodulatory systems (noradrenaline, dopamine, serotonin, and acetylcholine), which makes it very hard to delineate the role of one single system [18]. Consequently, the LC-NE system does not act alone, but interacts with other modulatory neurotransmitter pathways that also play an important contributive role in the antiepileptic effect of VNS.…”