Abstract:
:Epilepsy surgery currently offers the best treatment for patients with drug-refractory epilepsy (DRE). Resective surgery, in the presence of a well-localized epileptogenic focus, remains the best modality towards achieving seizure freedom. However, localization of the focus may not be possible in all the cases of DRE, despite comprehensive epilepsy workup. Neuromodulation techniques such as vagal nerve stimulation (VNS), deep brain stimulation (DBS) and responsive neurostimulation (RNS) may be a good alternative in these cases. This article intends to provide an overview of VNS in the management of DRE, including indications, comprehensive preoperative workup, exemplified by case illustrations and outcomes by reviewing the evidence available in the literature.
journal_name
Neurol Indiajournal_title
Neurology Indiaauthors
Doddamani RS,Agrawal M,Samala R,Ramanujam B,Chandra PS,Tripathi Mdoi
10.4103/0028-3886.302475subject
Has Abstractpub_date
2020-11-01 00:00:00pages
S259-S267issue
Supplementeissn
0028-3886issn
1998-4022pii
ni_2020_68_8_259_302475journal_volume
68pub_type
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