Vagus nerve stimulation for refractory epilepsy in tuberous sclerosis.

Abstract:

:The goal of the study was to assess the long-term seizure and neuropsychologic outcomes of patients with tuberous sclerosis and refractory epilepsy who received vagus nerve stimulator implantation. Eleven patients with a follow-up period of at least 12 months were studied retrospectively. The mean age at the time of implantation was 14 years (range, 2-35). Seizure outcome was rated as class I (>80% seizure frequency reduction) in 1 (9%), class II (50-79% reduction) in 7 (63%), and class III (<50% reduction) in 3 (27%). No patient experienced permanent adverse effects after the procedure. A significant increase of adaptive behaviors and quality of life was observed. Patients who had implantation during childhood exhibited a greater improvement in cognitive and neuropsychologic functioning. Vagus nerve stimulation can be considered an effective and safe therapeutic option in patients with tuberous sclerosis and refractory epilepsy who are not candidates for epilepsy surgery.

journal_name

Pediatr Neurol

journal_title

Pediatric neurology

authors

Zamponi N,Petrelli C,Passamonti C,Moavero R,Curatolo P

doi

10.1016/j.pediatrneurol.2010.03.003

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

29-34

issue

1

eissn

0887-8994

issn

1873-5150

pii

S0887-8994(10)00100-1

journal_volume

43

pub_type

杂志文章
  • Pediatric phantom vision (Charles Bonnet) syndrome.

    abstract::Visual symptomatology in childhood often presents diagnostic difficulties. Recurrent paroxysmal visual complaints, although typically associated with migraine, may also signal other disorders. We describe a 9-year-old partially sighted male with paroxysmal zoopsias resulting from Charles Bonnet syndrome. This conditio...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/s0887-8994(01)00358-7

    authors: Mewasingh LD,Kornreich C,Christiaens F,Christophe C,Dan B

    更新日期:2002-02-01 00:00:00

  • Neurotrophic factor expression in three infants with Ondine's curse.

    abstract::This study investigates the expression of some neurotrophic factors (brain-derived neurotrophic factor, glial-derived neurotrophic factor, and nerve growth factor) in the cerebrospinal fluid of infants suffering from idiopathic congenital central hypoventilation syndrome and determines their correlations with this syn...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2005.05.014

    authors: Chiaretti A,Zorzi G,Di Rocco C,Genovese O,Antonelli A,Piastra M,Polidori G,Aloe L

    更新日期:2005-11-01 00:00:00

  • Successful endovascular treatment of cerebral arteriovenous fistula.

    abstract::Childhood intracranial varix is rare and has been associated mostly with vein of Galen fistula or arteriovenous malformation. We present one patient with intracranial arteriovenous fistula with concomitant giant varix in a child. We treated the patient with endovascular embolization and obtained complete closure of fi...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/s0887-8994(02)00424-1

    authors: Hung PC,Wang HS

    更新日期:2002-10-01 00:00:00

  • Vitamins ameliorate secondary mitochondrial failure in neonatal rat brain.

    abstract::Recirculation after transient intrauterine ischemia has previously been found to be accompanied by secondary mitochondrial dysfunction in the immature rat brain. This study was performed to assess the efficacy of combined treatment with ascorbic acid and alpha-tocopherol in improving secondary brain damage. On the 17t...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/s0887-8994(02)00383-1

    authors: Nakai A,Shibazaki Y,Taniuchi Y,Oya A,Asakura H,Koshino T,Araki T

    更新日期:2002-07-01 00:00:00

  • First U.S. case of adenylosuccinate lyase deficiency with severe hypotonia.

    abstract::Adenylosuccinate lyase (ASL) deficiency is a defect in purine de novo synthesis pathway. The disease has variable clinical presentation involving psychomotor retardation, seizures, hypotonia, and autism. The presence of succinyladenosine and succinylaminoimidazole carboxamide riboside (SAICA riboside) in body fluids c...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/s0887-8994(97)89979-1

    authors: Valik D,Miner PT,Jones JD

    更新日期:1997-04-01 00:00:00

  • Pituitary hemorrhage in hemolytic uremic syndrome.

    abstract::A 5-year-old girl with hemolytic uremic syndrome is reported with pituitary hemorrhage in the acute phase. Seizures, hemiplegia, and transient blindness were observed. These symptoms cannot be attributed to the pituitary hemorrhage; however, pituitary hemorrhage should be added to the list of neurologic lesions that c...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/0887-8994(92)90059-8

    authors: Nagai T,Hasegawa O,Tuji A,Kamiyama Y,Honda M,Ito H

    更新日期:1992-01-01 00:00:00

  • A proposed new method for electroencephalography trace recording in children younger than two years: an observational study.

    abstract::Epilepsy is a common disorder in pediatric neurology, and electroencephalography (EEG) continues to play an important role in its diagnosis. However, the small size of a child's head and immaturity of the brain make EEG interpretation more difficult in children than in adults. This article presents a new method of EEG...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2013.01.009

    authors: Nikkhah K,Shoeibi A,Hasanpour M

    更新日期:2013-06-01 00:00:00

  • The Evaluation and Management of Pediatric Syncope.

    abstract::Syncope is a common problem in children and adolescents. It is typically caused by benign neurally mediated hypotension, but other, more concerning, etiologies of syncope must be considered. In most instances, the underlying cause of syncope in the pediatric patient can be determined by obtaining a thorough history an...

    journal_title:Pediatric neurology

    pub_type: 杂志文章,评审

    doi:10.1016/j.pediatrneurol.2015.10.018

    authors: Anderson JB,Willis M,Lancaster H,Leonard K,Thomas C

    更新日期:2016-02-01 00:00:00

  • Moyamoya vascular pattern in Alagille syndrome.

    abstract::We describe a girl with Alagille syndrome and a moyamoya angiographic pattern on magnetic resonance angiography. She was referred for genetic consultation because of posterior embryotoxon and peripheral pulmonary stenosis. Her facial appearance was typical, but she had no cholestasis or vertebral involvement. A hetero...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2012.04.014

    authors: Rocha R,Soro I,Leitão A,Silva ML,Leão M

    更新日期:2012-08-01 00:00:00

  • Isolated sympathetic failure with autoimmune autonomic ganglionopathy.

    abstract::A 16-year-old boy had a gradual onset of post-exercise myalgia with progressive fatigue and dizziness. He had bradycardia (37 beats/minute) with low supine and normal standing norepinephrine levels (56 and 311 pg/mL, respectively). He had absent sympathetically mediated vasoconstrictor responses during Valsalva maneuv...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2010.05.003

    authors: Fischer PR,Sandroni P,Pittock SJ,Porter CB,Lehwald LM,Raj SR

    更新日期:2010-10-01 00:00:00

  • Novel mutation in KCNQ2 causing benign familial neonatal seizures.

    abstract::Potassium channel subunits encoded by several genes of the KCNQ family underlie the M-current. Specifically, KCNQ2 and KCNQ3 play a major role at most neuronal sites. Mutations in KCNQ2 or KCNQ3 that reduce the M-current are responsible for benign familial neonatal seizures, a rare autosomal dominant idiopathic epilep...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2009.05.009

    authors: Goldberg-Stern H,Kaufmann R,Kivity S,Afawi Z,Heron SE

    更新日期:2009-11-01 00:00:00

  • The association of Alagille syndrome and craniosynostosis.

    abstract::Alagille syndrome is associated with various ocular abnormalities, including pseudopapilledema or optic disk edema due to increased intracranial pressure. Several mechanisms have been proposed to explain the mechanism of intracranial hypertension in Alagille syndrome. Craniosynostosis is an unusual but significant cau...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2012.10.014

    authors: Yilmaz S,Turhan T,Mutluer S,Aydogdu S

    更新日期:2013-02-01 00:00:00

  • Time interval from a brain insult to the onset of infantile spasms.

    abstract::The temporal latency between an encephalopathic event and the onset of infantile spasms cannot be determined in the majority of symptomatic cases (e.g. genetic conditions, cerebral malformations). However, we can measure this interval when a previously normal infant sustains brain injury followed by infantile spasms. ...

    journal_title:Pediatric neurology

    pub_type: 杂志文章,评审

    doi:10.1016/j.pediatrneurol.2007.08.005

    authors: Guggenheim MA,Frost JD Jr,Hrachovy RA

    更新日期:2008-01-01 00:00:00

  • MRI assessment of myelination patterns in high-risk infants.

    abstract::Magnetic resonance imaging (MRI) was used in high-risk infants to assess the myelination process and its relationship with neurologic outcome. The time period when delayed myelination is best detected by MRI was also studied. MRI was performed in 39 high-risk infants (i.e., preterm infants, infants with respiratory di...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/0887-8994(93)90083-o

    authors: Fujii Y,Konishi Y,Kuriyama M,Maeda M,Saito M,Ishii Y,Sudo M

    更新日期:1993-05-01 00:00:00

  • West Nile virus meningoencephalitis in an immunocompetent adolescent.

    abstract::This report describes a case of West Nile virus meningoencephalitis in a previously healthy adolescent. Clinical features included fever, altered mental status, and speech difficulty, with subsequent hyperesthesia, ataxia, and motor weakness, all of which eventually resolved completely. Magnetic resonance imaging was ...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2005.03.007

    authors: DeBiasi RL,Parsons JA,Grabert BE

    更新日期:2005-09-01 00:00:00

  • Epidemiology of pediatric mitochondrial respiratory chain disorders in northwest Spain.

    abstract::Our knowledge of mitochondrial respiratory chain diseases has increased dramatically in recent years, but relatively little information is available about their prevalence and incidence, either in pediatric or adult patients. This study reports incidence and prevalence estimates, and summarizes the clinical, biochemic...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2005.07.011

    authors: Castro-Gago M,Blanco-Barca MO,Campos-González Y,Arenas-Barbero J,Pintos-Martínez E,Eirís-Puñal J

    更新日期:2006-03-01 00:00:00

  • Electrocardiographic abnormalities in pediatric neuromuscular disease: a review.

    abstract::Cardiac abnormalities, often heralded by electrocardiographic alterations, at times may become a serious problem in patients with neuromuscular disorders and occasionally lead to death. Electrocardiographic monitoring can identify patients whose conduction defects will benefit from the use of demand pacemakers. ...

    journal_title:Pediatric neurology

    pub_type: 杂志文章,评审

    doi:10.1016/0887-8994(85)90039-6

    authors: Arensman FW,Hartlage PL,Strong WB

    更新日期:1985-03-01 00:00:00

  • Premonitory Symptoms in Episodic and Chronic Migraine From a Pediatric Headache Clinic.

    abstract:OBJECTIVE:We evaluated the frequency of six commonly reported adult migraine premonitory symptoms in children and adolescents with episodic and chronic migraine and elicited psychological or behavioral comorbidities that may be associated with these symptoms. BACKGROUND:Premonitory symptoms are commonly reported in th...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2019.03.023

    authors: Jacobs H,Pakalnis A

    更新日期:2019-08-01 00:00:00

  • Transient focal cortical hypometabolism in idiopathic West syndrome.

    abstract::Positron emission tomography (PET) using 18F-labeled 2-deoxy-D-glucose was performed serially in 5 infants with idiopathic West syndrome. While tonic spasms persisted, 2 infants had hypometabolism in the bilateral temporo-parieto-occipital regions, which disappeared after cessation of spasms. In 2 other infants, PET r...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/0887-8994(93)90021-4

    authors: Maeda N,Watanabe K,Negoro T,Aso K,Haga Y,Kito M,Ohki T,Ito K,Kato T

    更新日期:1993-11-01 00:00:00

  • EEG correlation of improvement in hemolytic-uremic syndrome after plasma infusion.

    abstract::We report a previously undescribed electroencephalographic pattern of epochs of diffuse delta background (85-240 sec) alternating with epochs of classic "burst suppression" (90-270 sec) in a 13-month-old girl with hemolytic-uremic syndrome. A dramatic electroencephalographic improvement was evident on continuous monit...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/0887-8994(90)90120-p

    authors: Pascual-Leone A,Dhuna AK,Janousek ST,Talwar D

    更新日期:1990-07-01 00:00:00

  • Travel vision: "collicular visual system"?

    abstract::Two visually impaired children with occipital infarctions are presented. One patient has profound impairment of his primary visual pathway but has good vision for traveling, while the other child presented with the symptoms in reverse. We believe that these two patients provide further evidence that the primary visual...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/0887-8994(86)90079-2

    authors: Jan JE,Wong PK,Groenveld M,Flodmark O,Hoyt CS

    更新日期:1986-11-01 00:00:00

  • Changes in brainstem auditory evoked response latencies in term neonates with hyperbilirubinemia.

    abstract::Ninety term neonates with hyperbilirubinemia were studied with brainstem auditory evoked response to clarify the ototoxic effect of hyperbilirubinemia, and detect any differences in ototoxic effect between different levels of total serum bilirubin. The response threshold in these neonates was significantly elevated (P...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2007.03.006

    authors: Jiang ZD,Chen C,Liu TT,Wilkinson AR

    更新日期:2007-07-01 00:00:00

  • Laterality of brain and ocular lesions in Aicardi syndrome.

    abstract::This study reports a large case series of children with Aicardi syndrome. A new severity scoring system is established to assess sidedness of ocular and brain lesions. Thirty-five children were recruited from Aicardi syndrome family conferences. All children received dilated ophthalmologic examinations, and brain magn...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2011.04.007

    authors: Cabrera MT,Winn BJ,Porco T,Strominger Z,Barkovich AJ,Hoyt CS,Wakahiro M,Sherr EH

    更新日期:2011-09-01 00:00:00

  • Fever-Induced Paroxysmal Weakness and Encephalopathy, a New Phenotype of ATP1A3 Mutation.

    abstract:BACKGROUND:We identified a group of patients with ATP1A3 mutations at residue 756 who display a new phenotype, distinct from alternating hemiplegia of childhood, rapid-onset dystonia-parkinsonism, and cerebellar ataxia, areflexia, pes cavus, optic atrophy, sensorineural hearing loss syndromes. METHODS:Four patients wi...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2017.04.022

    authors: Yano ST,Silver K,Young R,DeBrosse SD,Ebel RS,Swoboda KJ,Acsadi G

    更新日期:2017-08-01 00:00:00

  • Rett syndrome and epilepsy: an update for child neurologists.

    abstract::Rett syndrome, a neurogenetic disorder predominantly affecting females, has many characteristic features including psychomotor retardation, impaired language development, hand stereotypies, gait dysfunction, and acquired microcephaly. Although each of these features undoubtedly contributes to the morbidity of this neu...

    journal_title:Pediatric neurology

    pub_type: 杂志文章,评审

    doi:10.1016/j.pediatrneurol.2012.11.001

    authors: Dolce A,Ben-Zeev B,Naidu S,Kossoff EH

    更新日期:2013-05-01 00:00:00

  • T-cell lymphoma presenting with neurologic features in immunocompetent children.

    abstract::Systemic T-cell lymphoma presenting with neurologic symptoms is infrequently reported in immunocompetent children. We investigated the presenting features in all 20 immunocompetent children diagnosed with T-cell lymphoma at our institution from 1992-2004. Four children presented with neurologic features. These finding...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2006.05.005

    authors: Bassuk AG,Mohile NA,Stack C

    更新日期:2006-11-01 00:00:00

  • Quantitative follow-up analysis by computed tomographic imaging in neonatal hydrocephalus.

    abstract::We sought a simple and accurate method to monitor neonatal hydrocephalic infants using standard computed tomographic scans. Volume measurements were made by means of pixel counting using a personal computer and a drawing device, as a graphic tablet system, over computed tomographic scans of six infants with neonatal h...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/s0887-8994(03)00401-6

    authors: Morimoto K,Nishikuni K,Hirano S,Takemoto O,Futagi Y

    更新日期:2003-11-01 00:00:00

  • Neurodevelopmental outcome in children with posthemorrhagic hydrocephalus.

    abstract::To determine the factors affecting the neurodevelopmental outcome in children with posthemorrhagic hydrocephalus, 78 children with intraventricular hemorrhage grade 3 or 4 were analyzed concerning the outcome in relation to the grade of intraventricular hemorrhage and intervention (surgical, medical, or no interventio...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2005.01.008

    authors: Futagi Y,Suzuki Y,Toribe Y,Nakano H,Morimoto K

    更新日期:2005-07-01 00:00:00

  • Megachoroid as a cause of isolated ventricle syndrome.

    abstract::Recent sonographic studies have demonstrated enlarged choroid plexuses to be an abnormality associated with myelomeningocele. We report a patient with hydrocephalus and myelomeningocele who had huge bilateral enlargement of the choroid plexuses which were large enough to occlude the foramen of Monro of the shunted and...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/0887-8994(89)90072-6

    authors: Chadduck WM,Glasier CM

    更新日期:1989-05-01 00:00:00

  • Age-Dependent Reduction in Severity and Discrete Topographical Patterns in Rasmussen Encephalitis: A Link to Cortical Maturation?

    abstract:BACKGROUND:Autopsy studies in Rasmussen encephalitis reveal areas of sparing within the affected hemisphere. Clinical progression and inflammation are milder with an older onset. We sought to demonstrate radiological corroboration for these patterns. METHODS:In our retrospective study, 38 cases were dichotomized into ...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2020.07.016

    authors: Benjamin RN,Thomas M,Muthusamy K,Yoganathan S,Mathew V,Chacko AG,Prabhu K,Chacko G

    更新日期:2020-11-01 00:00:00