Treatment of epilepsy by stimulation of the vagus nerve from Head‐and‐Neck surgical point of view

Lotan, Gad; Vaiman, Michael

doi:10.1002/lary.25064

Cited by 12 publications

(7 citation statements)

References 17 publications

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“…The complication rate of this study corresponds to previous literature that showed surgical complication rates ranging from 4.2 to 16.7%. ( Lotan and Vaiman, 2015 ; Révész and Ben-Menachem, 2016 ; Kahlow and Olivecrona, 2013 ; Spindler et al, 2021 ). In total, three permanent complications occurred.…”

Section: Discussionmentioning

confidence: 99%

“…Complication rates range between 4.2 and 16.7%, depending on the exact definition of a surgical complication and the type of VNS surgery evaluated (primary implantation, pulse generator replacement, lead replacement, or removal surgery) ( Lotan and Vaiman, 2015 ; Révész and Ben-Menachem, 2016 ; Kahlow and Olivecrona, 2013 ; Spindler et al, 2021 ). Well-known risk factors for getting surgical complications in general include smoking, obesity, diabetes, duration of surgery, use of immunosuppressive medication, and length of preoperative hospitalization ( Anderson, 2011 ).…”

Section: Introductionmentioning

confidence: 99%

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Surgical complications of vagus nerve stimulation surgery: A 14-years single-center experience

van Schooten,

Smeets,

van Kuijk

et al. 2024

Brain and Spine

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Surgical complications of vagus nerve stimulation surgery: A 14-years single-center experience

van Schooten,

Smeets,

van Kuijk

et al. 2024

Brain and Spine

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“…Side effects of neurostimulation can include coughing, hiccups, dysphagia, and hoarseness associated with stimulation of the retrobulbar laryngeal nerve. After implantation of a vagus nerve stimulator, periodic monitoring and programming of the ruler is necessary [17,18,19,20,21,22].…”

Section: Discussionmentioning

confidence: 99%

Drug-resistant epilepsy treated with a vagus nerve stimulator – case report and literature review

Leśniewski,

Brzuchacz,

Błaszczeć

et al. 2024

J Educ Health Sport

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The average incidence of epilepsy worldwide is estimated at 7.60 cases per 1,000 inhabitants, with an average annual incidence of 67.77 cases per 100,000 inhabitants. Epilepsy is one of the most common neurological diseases. However, it is not a disease entity, but a set of symptoms that may occur against the background of various morphological and metabolic changes in the brain. Symptoms of epilepsy include epileptic seizures, i.e. temporary disturbances in the bioelectric activity of brain nerve cells. Epilepsy is a brain disorder characterized by a persistent predisposition to trigger seizures, and the condition has neurobiological, cognitive, psychological, and social consequences. Effective treatment of epilepsy may require the use of various methods. In this paper, we would like to present a case report on the treatment of drug-resistant epilepsy using a vagus nerve stimulator (VNS). The described case may prove the effectiveness of treatment of focal drug-resistant epilepsy using vagus nerve stimulation (VNS). Choosing an appropriate, effective method of treating children with drug-resistant epilepsy is crucial; it is especially worth thinking about innovative methods such as VNS.

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“…Positioning the electrode on the right side would be associated with a higher risk of arrhythmia due to the effect of the right vagus nerve on the atrial-ventricular node of the stimulus-conducting system of the heart [73][74]. Stimulation is associated with potential side effects, among which can be distinguished cough, hiccups, dysphagia, and hoarseness associated with excitation of the posterior laryngeal nerve [75].…”

Section: Ethosuximidementioning

confidence: 99%

Epilepsy diagnosis and treatment in children – new hopes and challenges – literature review

Urbańska,

Leśniewski,

Welian-Polus

et al. 2024

J Pre Clin Clin Res.

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Introduction andObjective. Epilepsy is one of the most commonly diagnosed neurological aberrations. Epileptic seizures are the main symptoms of the condition. Reducing the seizures is the main objective of the treatment. The aim of the review is to summarise current knowledge on diagnosis and various treatment methods of epilepsy among children. Review Methods. Scientific publications in PubMed, Google Scholar, Wiley Library, Web of Science, Clinicaltrials.gov, and NCBI databases were searched for the review. More than 93% of the articles are less than eight years old. After an initial assessment of articles, meta-analyses and reviews on epilepsy, concerning the pharmacological, surgical, and gene therapy of epilepsy, were selected. Publications were analyzed using a non-systematic review method to create a brief synthesis of the information. Brief description of the state of knowledge. Diagnosis of epilepsy consists of subjective and objective examination of the patient and performing electroencephalography. Additional procedures, such as neuroimaging of the central nervous system, genetic testing, metabolic and immunological tests, may expand the diagnostic stage. Pharmacological methods prove that early initiation of treatment reduces the risk of relapse. First-line pharmacological treatment consists of carbamazepine, valproic acid, oxcarbazepine, and phenytoin. If epilepsy proves to be drug resistant, surgery is an alternative to pharmacotherapy. Invasive treatment consists of resection, separation and neurostimulation. Current knowledge also proves that there is relevant comorbidity among paediatric patients with epilepsy. Summary. The review emphasizes the development of currently used diagnostic methods, therapeutic options, and importance of further research.

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Treatment of epilepsy by stimulation of the vagus nerve from Head‐and‐Neck surgical point of view

Abstract: 4.

Cited by 12 publications

References 17 publications

Surgical complications of vagus nerve stimulation surgery: A 14-years single-center experience

Surgical complications of vagus nerve stimulation surgery: A 14-years single-center experience

Drug-resistant epilepsy treated with a vagus nerve stimulator – case report and literature review

Epilepsy diagnosis and treatment in children – new hopes and challenges – literature review

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