کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6012532 1579858 2014 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Lead revision surgery for vagus nerve stimulation in epilepsy: Outcomes and efficacy
ترجمه فارسی عنوان
جراحی تجدید سرب برای تحریک عصب واگ در صرع: نتایج و کارآیی
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی علوم اعصاب رفتاری
چکیده انگلیسی


- We evaluate clinical outcomes, surgical details, and etiology of VNS lead revision.
- VNS lead revision can be performed safely with minimal complications.
- The need for revision is rare; surgical skill contributes to the success of the procedure.
- Clinical response is restored, and patient self-reported QoL improves.
- VNS lead revision should be considered a practical treatment option.

We present, to our knowledge, the first published analysis of vagus nerve stimulation (VNS) lead revisions to incorporate quality of life, clinical response, and antiepileptic drug (AED) burden in postrevision clinical outcomes. Ten patients were followed and had no postoperative complications. Seven patients had improvement in quality of life, and three experienced no change. Eight patients noted a restoration of clinical response comparable with initial VNS implantation. Seven patients reported 30-60% improvement in seizure reduction, two experienced > 60%, and one noted < 30%. Six patients had no change in AED burden. Vagus nerve stimulation lead revision should be considered a safe option for patients with VNS lead failure and medically intractable epilepsy.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Epilepsy & Behavior - Volume 31, February 2014, Pages 110-113
نویسندگان
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