Video EEG monitoring prior to vagal nerve stimulator implantation.
Vagal nerve stimulation (VNS) is a safe alternative therapy for epilepsy but may have rare significant complications. There is no consensus regarding the necessity of video-EEG monitoring to characterize events before the VNS implantation. The authors discuss four patients who were inappropriately referred for or implanted with VNS without any previous video-EEG monitoring, in the context of their entire case experience.
Attarian
Hrayr
H
Department of Neurology, Washington University School of Medicine, St. Louis, MO 63110, USA. attarianh@neuro.wustl.edu
Dowling
Joshua
J
Carter
Jewell
J
Gilliam
Frank
F
D000328:Adult; D001254:Astrocytoma / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D001927:Brain Diseases / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D001932:Brain Neoplasms / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D003937:Diagnosis, Differential; D004599:Electric Stimulation Therapy / Q000295:instrumentation; D004569:Electroencephalography / Q000295:instrumentation / Q000379:methods*; D004827:Epilepsy / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis; D008991:Monitoring, Physiologic / Q000295:instrumentation / Q000379:methods*; D011237:Predictive Value of Tests; D014630:Vagus Nerve / Q000502:physiology; D014741:Video Recording