Zalvan Craig, Sulica Lucian, Wolf Steven, Cohen Jeffrey, Gonzalez-Yanes Omar, Blitzer Andrew
Department of Otolaryngology-Head and Neck Surgery, St. Luke's-Roosevelt Hospital Center, New York, NY, USA.
Laryngoscope. 2003 Feb;113(2):221-5. doi: 10.1097/00005537-200302000-00005.
OBJECTIVES/HYPOTHESIS: The objective of the study was to examine the side-effect profile of the vagal nerve stimulator. Vagal nerve stimulators have been used to treat intractable seizures in all age groups. They provide relief to the patient with a seizure disorder by decreasing the overall number and severity of seizure activities. Although significant complications are rare, many patients have some complaint, usually of their voice.
A retrospective evaluation of four patients with intractable epilepsy.
Evaluation of charts and medical records and endoscopic examination of the larynx.
In this small series, all four patients had implantation-related paresis. Three of the four appear to have side effects from device activation.
Patients in whom a vagal nerve stimulator is placed can have adverse side effects. These can be related to the surgical manipulation of the vagus nerve, resulting in a temporary paresis of the vocal folds. A second set of side effects is related to the actual electrical stimulation of the device, and these side effects can directly affect the laryngeal musculature.
目的/假设：本研究的目的是检查迷走神经刺激器的副作用情况。迷走神经刺激器已被用于治疗各年龄组的顽固性癫痫。它们通过减少癫痫发作活动的总数和严重程度，为癫痫患者提供缓解。虽然严重并发症很少见，但许多患者有一些不适，通常是关于他们的声音。
对4例顽固性癫痫患者进行回顾性评估。
评估病历和医疗记录，并对喉部进行内镜检查。
在这个小系列中，所有4例患者都有与植入相关的轻瘫。4例中有3例似乎因设备激活而出现副作用。
植入迷走神经刺激器的患者可能会出现不良副作用。这些副作用可能与迷走神经的外科手术操作有关，导致声带暂时轻瘫。另一组副作用与设备的实际电刺激有关，这些副作用可直接影响喉部肌肉组织。
