Vagus nerve stimulation for intractable epilepsy: A review

被引:64
作者
McLachlan, RS [1 ]
机构
[1] Univ Western Ontario, Dept Clin Neurol Sci, London, ON, Canada
关键词
epilepsy; intractable; vagus nerve stimulation;
D O I
10.1097/00004691-199709000-00002
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Electrical stimulation of the vagus nerve in the neck by using a programmable stimulator similar to a cardiac pacemaker is being explored as a treatment for epilepsy. There is sound rationale based on studies of animal seizure models for pursuing this treatment modality, and early clinical trials provide support for efficacy in patients with intractable epilepsy at least equivalent to that of some of the new antiepileptic drugs. Safety and tolerability have been demonstrated in >800 patients worldwide since the first implant in 1988. Most of these had partial seizures for which resective epilepsy surgery was not feasible or had failed, but efficacy of vagal stimulation appears to be the same for both partial and generalized epilepsy. Specific selection criteria for this procedure have yet to be established, and further studies an warranted to determine whether vagal stimulation becomes an accepted procedure for epilepsy management.
引用
收藏
页码:358 / 368
页数:11
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