How I do it: surgical techniques for vagus nerve stimulation in pediatric drug-resistant epilepsy

IF 1.9 3区 医学 Q3 CLINICAL NEUROLOGY Acta Neurochirurgica Pub Date : 2025-02-20 DOI:10.1007/s00701-025-06432-8
Santiago Ezequiel Cicutti, Javier F. Cuello, Guido P. Gromadzyn, Marcelo Bartuluchi
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Abstract

Background

Vagus nerve stimulation (VNS) is a neuromodulatory treatment for refractory epilepsy, involving electrical stimulation of the vagus nerve via a subcutaneously implanted pulse generator.

Method

We present a step-by-step description of the VNS implantation technique, incorporating tips and tricks from an epilepsy surgeon with over 20 years of experience (MB).

Conclusion

Proper patient selection, meticulous surgical technique, and comprehensive postoperative care, supported by educational resources such as surgical technique articles, videos, and simulators, are crucial for minimizing complications and optimizing patient outcomes.

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我是怎么做的:迷走神经刺激治疗小儿耐药癫痫的外科技术
迷走神经刺激(VNS)是一种治疗难治性癫痫的神经调节疗法,通过皮下植入脉冲发生器对迷走神经进行电刺激。方法我们将逐步介绍VNS植入技术,并结合具有20多年经验的癫痫外科医生的技巧和技巧。结论正确的患者选择,细致的手术技术,全面的术后护理,辅以手术技术文章、视频和模拟器等教育资源,是减少并发症和优化患者预后的关键。
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来源期刊
Acta Neurochirurgica
Acta Neurochirurgica 医学-临床神经学
CiteScore
4.40
自引率
4.20%
发文量
342
审稿时长
1 months
期刊介绍: The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.
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