Liporace J, Hucko D, Morrow R, Barolat G, Nei M, Schnur J, Sperling M
Jefferson Comprehensive Epilepsy Center, Department of Neurology, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
Neurology. 2001 Sep 11;57(5):885-6. doi: 10.1212/wnl.57.5.885.
Vagal nerve stimulation is an approved adjunctive treatment for medically intractable epilepsy. Although it is generally well tolerated, some patients experience pain, coughing, or hoarseness during stimulation. Lowering the pulse width in these patients alleviates pain and reduces voice alteration without loss of efficacy. This allows more optimal programming of stimulation intensities.