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一名难治性癫痫患者孕期成功植入并即刻激活迷走神经刺激器(VNS):病例说明及文献综述

Successful implantation and immediate activation of Vagus Nerve Stimulation (VNS) during pregnancy in a patient with intractable epilepsy: A case illustration and review of the literature.

作者信息

Jazebi N, Moghimi N, Lall R, Osadebey E, Ortega-Barnett J, Masel T

机构信息

Department of Neurology, University of Texas Medical Branch, Galveston, TX, United States.

Department of Neurology, University of Texas Medical Branch, Galveston, TX, United States.

出版信息

J Clin Neurosci. 2017 Aug;42:114-115. doi: 10.1016/j.jocn.2017.03.044. Epub 2017 Apr 12.

Abstract

While Vagus Nerve Stimulation (VNS) is proven to be a safe and effective adjunctive therapy in the general population with medically intractable seizures, little is published about its implantation during pregnancy. Here we illustrate the case of a 21year old primigravid woman with medically refractory seizures who underwent safe and successful VNS implantation and immediate activation of the device in her 32nd week of pregnancy, resulting in dramatically improved seizure control and subsequent delivery of a healthy baby.

摘要

虽然迷走神经刺激术(VNS)已被证明是治疗药物难治性癫痫的普通人群中的一种安全有效的辅助疗法,但关于其在孕期植入的报道却很少。在此,我们阐述了一名21岁初孕妇的病例,该孕妇患有药物难治性癫痫,在其怀孕第32周时接受了安全且成功的VNS植入及装置即刻激活,结果癫痫控制得到显著改善,并随后分娩出一名健康婴儿。

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