关键词: drug-resistant epilepsy neurosurgery vagus nerve stimulation

来  源:   DOI:10.3171/2024.4.FOCVID244   PDF(Pubmed)

Abstract:
Vagus nerve stimulation (VNS) is a neuromodulatory treatment involving chronic intermittent electrical stimulation of the left vagus nerve, administered through a programmable pulse generator implanted subcutaneously in the chest. This generator connects to a bipolar lead, with electrodes wrapped around the vagus nerve in the neck. Primarily used as an adjunct therapy for patients with refractory epilepsy who cannot undergo or have not benefitted from resective surgery, VNS is generally well tolerated with few severe side effects. Herein is presented an educational surgical video providing a detailed, step-by-step technical description of VNS implantation. The video can be found here: https://stream.cadmore.media/r10.3171/2024.4.FOCVID244.
摘要:
迷走神经刺激(VNS)是一种神经调节治疗,涉及慢性间歇性电刺激左迷走神经,通过植入胸部皮下的可编程脉冲发生器给药。这个发生器连接到双极导线,用电极包裹在颈部的迷走神经上.主要用作不能接受或未受益于切除手术的难治性癫痫患者的辅助治疗。VNS通常具有良好的耐受性,几乎没有严重的副作用。这里介绍了一个教育手术视频,提供了详细的,VNS植入的分步技术描述。视频可以在这里找到:https://stream。cadmore.媒体/r10.3171/2024.4。FOCVID244。
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