Alqadi Khalid, Aldhalaan Hesham, Alghamdi Abdulaziz, Bamgadam Fawzia, Abu-Jabber Amal, Baeesa Saleh, Althubaiti Ibrahim, Baz Salah
Department of Neurosciences, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Department of Neurosciences, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Saudi J Med Med Sci. 2021 Jan-Apr;9(1):75-81. doi: 10.4103/sjmms.sjmms_578_19. Epub 2020 Dec 26.
Vagus nerve stimulation (VNS) is an approved adjunctive therapy for refractory epilepsy and used in patients who are not candidates for resective epilepsy surgery. In Saudi Arabia, VNS device implantation is being performed since 2008 by several comprehensive epilepsy programs, but with variable protocols. Therefore, to standardize the use of VNS, a task force was established to create a national consensus. This group consisted of epileptologists, epilepsy surgeons and a VNS nurse coordinator working in comprehensive epilepsy centers and dealing with refractory epilepsy cases. The group intensively reviewed the literature using Medline, EMBASE, Web of Science and Cochrane Library, in addition to physician's manual. Evidence is reported as three stages: preimplantation and patient selection, a perioperative phase involving all stakeholders and post-operative care with specific programming pathways.
迷走神经刺激术（VNS）是一种已获批准用于难治性癫痫的辅助治疗方法，适用于不适合进行切除性癫痫手术的患者。在沙特阿拉伯，自2008年以来，多个综合性癫痫治疗项目一直在开展VNS设备植入手术，但操作流程各不相同。因此，为了规范VNS的使用，成立了一个特别工作组以达成全国共识。该小组由在综合性癫痫中心工作并处理难治性癫痫病例的癫痫专家、癫痫外科医生和一名VNS护士协调员组成。除了医生手册外，该小组还使用Medline、EMBASE、科学网和考克兰图书馆对文献进行了深入审查。证据报告分为三个阶段：植入前和患者选择、涉及所有利益相关者的围手术期以及具有特定程控路径的术后护理。
