Terra Vera Cristina, D'Andrea-Meira Isabella, Amorim Ricardo, Arruda Francisco, Oliveira Andrea Julião de, Paola Luciano De, Henriques-Souza Adélia Maria de Miranda
Liga Brasileira de Epilepsia, Comissão de Neuromodulação, São Paulo SP, Brasil.
Academia Brasileira de Neurologia, Departamento Científico de Epilepsia, São Paulo SP, Brasil.
Arq Neuropsiquiatr. 2016 Dec;74(12):1031-1034. doi: 10.1590/0004-282X20160158.
Epilepsy is a potentially devastating brain disorder characterized by a predisposition to spontaneous epileptic seizures. In patients with medically refractory epilepsy, new non-pharmacological therapeutic approaches may be considered. In this scenario, palliative surgery such as vagus nerve stimulation (VNS) or deep brain stimulation (DBS) may be indicated in a subset of patients. In this paper we make recommendations for the use of VNS and DBS in patients in Brazil with refractory epilepsy.
癫痫是一种潜在的毁灭性脑部疾病,其特征是易发生自发性癫痫发作。对于药物难治性癫痫患者,可考虑新的非药物治疗方法。在这种情况下,迷走神经刺激术(VNS)或脑深部电刺激术(DBS)等姑息性手术可能适用于部分患者。在本文中,我们针对巴西难治性癫痫患者使用VNS和DBS提出建议。