Kalkanis James G, Krishna Priya, Espinosa Jose A, Naritoku Dean K
Department of Neurology, Southern Illinois University School of Medicine, Springfield 62794-9230, USA.
J Neurosurg. 2002 May;96(5):949-51. doi: 10.3171/jns.2002.96.5.0949.
Vagus nerve stimulation for treatment of epilepsy is considered safe; reports of severe complications are rare. The authors report on two developmentally disabled patients who experienced vocal cord paralysis weeks after placement of a vagus nerve stimulator. In both cases, traction injury to the vagus nerve resulting in vocal cord paralysis was caused by rotation of the pulse generator at the subclavicular pocket by the patient. Traumatic vagus nerve injury caused by patients tampering with their device has never been reported and may be analogous to a similar phenomenon reported for cardiac pacemakers in the literature. As the use of vagus nerve stimulation becomes widespread it is important to consider the potential for this adverse event.
迷走神经刺激术治疗癫痫被认为是安全的；严重并发症的报告很少见。作者报告了两名发育障碍患者，他们在植入迷走神经刺激器数周后出现声带麻痹。在这两个病例中，患者通过转动锁骨下囊袋处的脉冲发生器导致迷走神经受牵拉损伤，进而引起声带麻痹。患者擅自摆弄设备导致的创伤性迷走神经损伤此前从未有过报道，可能类似于文献中报道的心脏起搏器的类似现象。随着迷走神经刺激术的广泛应用，考虑这种不良事件的可能性很重要。
