应用迷走神经刺激治疗药物耐药性癫痫的经验

Q4 Medicine

Epilepsy and Paroxysmal Conditions Pub Date : 2023-12-22 DOI:10.17749/2077-8333/epi.par.con.2023.160

A. A. Shatokhin, S. M. Karpov, E. V. Kushnareva, I. A. Peshkova, A. V. Shatokhin, I. Vyshlova

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引用次数: 0

摘要

文章介绍了一例通过手术植入迷走神经刺激（VNS）系统的临床病例，该患者患有药物耐受性癫痫，但没有局灶性大脑形态学改变。文章分析了长达 6 个月的治疗结果。此外，还查阅了现有文献，以评估迷走神经刺激系统在不同患者群体中的疗效。目前的临床病例具有显著的积极动态特征，表现为癫痫发作的消退，以及在 VNS 刺激期间脑电图没有记录到癫痫样活动。如果成年患者没有形态学上的脑局灶改变，安装 VNS 系统是控制药物耐药性癫痫的一种有效而安全的方法。

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The experience of applying vagus nerve stimulation in treatment of pharmacoresistant epilepsy

The article presents a clinical case of adult patient with pharmacoresistant epilepsy lacking focal cerebral morphological changes, who was surgically implanted with a vagus nerve stimulation (VNS) system. The results of 6 months-long treatment were analyzed. In addition, available publications were reviewed to evaluate effectiveness of the VNS system in different patient groups. Current clinical case was featured with significant positive dynamics revealed by regression of epileptic seizures and no recorded epileptiform activity based on electroencephalography during VNS stimulation. In the absence of morphological cerebral focal changes in adult patients, installation of the VNS system is an effective and safe method to control pharmacoresistant epilepsy.

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来源期刊

Epilepsy and Paroxysmal Conditions Medicine-Neurology (clinical)

CiteScore

0.90

自引率

0.00%

发文量

审稿时长

8 weeks