Vagal Nerve Stimulation in the Management of Epilepsy - Recent Concepts.

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 India

journal_title

Neurology India

authors

Doddamani RS,Agrawal M,Samala R,Ramanujam B,Chandra PS,Tripathi M

doi

10.4103/0028-3886.302475

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

S259-S267

issue

Supplement

eissn

0028-3886

issn

1998-4022

pii

ni_2020_68_8_259_302475

journal_volume

68

pub_type

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