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长期应用迷走神经刺激治疗青少年和成人耐药性癫痫伴学习障碍的疗效和耐受性。

Efficacy and tolerability of long-term treatment with vagus nerve stimulation in adolescents and adults with refractory epilepsy and learning disabilities.

机构信息

National Centre for Epilepsy, Division of Clinical Neuroscience, Oslo University Hospital, Oslo, Norway.

出版信息

Seizure. 2011 Jan;20(1):34-7. doi: 10.1016/j.seizure.2010.10.002. Epub 2010 Oct 29.

DOI:10.1016/j.seizure.2010.10.002
PMID:21035358
Abstract

The long-term effects of vagus nerve stimulation (VNS) on seizure frequency were studied in 50 patients with epilepsy and learning disabilities. Mean observation time was 4.6 years. At follow-up, none of the patients was seizure-free, 25% had more than 50% seizure reduction, and 46% had some seizure reduction, but less than 50%. The discontinuation rate was 18%. Our results indicate that, like antiepileptic drugs, VNS does not have such a good seizure-reducing effect in patients with epilepsy and learning disabilities compared with the general epilepsy population.

摘要

研究了 50 例患有癫痫和学习障碍的患者中迷走神经刺激 (VNS) 对癫痫发作频率的长期影响。平均观察时间为 4.6 年。随访时,无患者无癫痫发作,25%的患者癫痫发作减少超过 50%,46%的患者癫痫发作减少,但少于 50%。停药率为 18%。我们的结果表明,与一般癫痫人群相比,VNS 像抗癫痫药物一样,对患有癫痫和学习障碍的患者并没有如此好的减少癫痫发作的效果。

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