Vagus nerve stimulation in pediatric patients with drug-resistant epilepsy: a step-by-step video.

Santiago E Cicutti, Guido P Gromadzyn, Javier F Cuello, Marcelo Bartuluchi
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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.

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迷走神经刺激治疗儿科耐药性癫痫患者:逐步视频。
迷走神经刺激(VNS)是一种神经调节疗法,通过植入胸部皮下的可编程脉冲发生器对左侧迷走神经进行慢性间歇性电刺激。该发生器与双极导线相连,电极缠绕在颈部迷走神经上。VNS 主要作为一种辅助疗法,用于治疗无法接受切除手术或手术效果不佳的难治性癫痫患者,其耐受性通常很好,几乎没有严重的副作用。以下是一段手术教学视频,对 VNS 植入术进行了详细、循序渐进的技术描述。该视频可在此处找到:https://stream.cadmore.media/r10.3171/2024.4.FOCVID244。
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