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我是否应该将迷走神经刺激作为我神经科诊疗工作的一部分?

Should I offer vagus nerve stimulation as part of my neurology practice?

作者信息

Denski Kai M, Labiner David M

机构信息

Department of Neurology, College of Medicine (KMD, DML), and Department of Pharmacy Practice & Science, College of Pharmacy (DML), The University of Arizona, Tucson.

出版信息

Neurol Clin Pract. 2014 Aug;4(4):313-318. doi: 10.1212/CPJ.0000000000000048.

Abstract

Vagus nerve stimulation (VNS) is a safe and effective adjunctive therapy approved for patients with partial-onset seizures. A pulse generator, which is implanted in the chest wall, delivers programmed electrical pulses through an electrode that is attached to the left vagus nerve. VNS plays an important role in the treatment of patients with drug-resistant epilepsy. It is currently offered in academic as well as private practice settings. After a comprehensive workup is performed, VNS should be offered to patients with drug-resistant epilepsy who are not candidates for surgery.

摘要

迷走神经刺激术(VNS)是一种被批准用于部分性发作癫痫患者的安全有效的辅助治疗方法。一个植入胸壁的脉冲发生器通过连接到左迷走神经的电极传递程控电脉冲。VNS在耐药性癫痫患者的治疗中发挥着重要作用。目前,它在学术机构以及私人诊所中均有应用。在进行全面的检查后,VNS应提供给不适合手术的耐药性癫痫患者。

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