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Characterization of Vagus Nerve Stimulation (VNS) Dose-Dependent Effects on EEG Power Spectrum and Synchronization.

作者信息

Germany Morrison Enrique, Danthine Venethia, Santalucia Roberto, Torres Andrés, Cakiroglu Inci, Nonclercq Antoine, El Tahry Riëm

机构信息

Institute of NeuroScience (IoNS), Université Catholique de Louvain, 1200 Bruxelles, Belgium.

Walloon Excellence in Life Sciences and Biotechnology (WELBIO) Department, WEL Research Institute, Avenue Pasteur 6, 1300 Wavre, Belgium.

出版信息

Biomedicines. 2024 Mar 1;12(3):557. doi: 10.3390/biomedicines12030557.


DOI:10.3390/biomedicines12030557
PMID:38540170
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10968041/
Abstract

This study investigates the dose-dependent EEG effects of Vagus Nerve Stimulation (VNS) in patients with drug-resistant epilepsy. This research examines how varying VNS intensities impacts EEG power spectrum and synchronization in a cohort of 28 patients. Patients were categorized into responders, partial-responders, and non-responders based on seizure frequency reduction. The methods involved EEG recordings at incremental VNS intensities, followed by spectral and synchronization analysis. The results reveal significant changes in EEG power, particularly in the delta and beta bands across different intensities. Notably, responders exhibited distinct EEG changes compared to non-responders. Our study has found that VNS intensity significantly influences EEG power topographic allocation and brain desynchronization, suggesting the potential use of acute dose-dependent effects to personalized VNS therapy in the treatment of epilepsy. The findings underscore the importance of individualized VNS dosing for optimizing therapeutic outcomes and highlight the use of EEG metrics as an effective tool for monitoring and adjusting VNS parameters. These insights offer a new avenue for developing individualized VNS therapy strategies, enhancing treatment efficacy in epilepsy.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db1e/10968041/93f6b3effeb8/biomedicines-12-00557-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db1e/10968041/29df65e6e663/biomedicines-12-00557-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db1e/10968041/17a234f116bd/biomedicines-12-00557-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db1e/10968041/3fb3b02284e9/biomedicines-12-00557-g003a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db1e/10968041/d692eff07f31/biomedicines-12-00557-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db1e/10968041/b9cd59c9ef6b/biomedicines-12-00557-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db1e/10968041/93f6b3effeb8/biomedicines-12-00557-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db1e/10968041/29df65e6e663/biomedicines-12-00557-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db1e/10968041/17a234f116bd/biomedicines-12-00557-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db1e/10968041/3fb3b02284e9/biomedicines-12-00557-g003a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db1e/10968041/d692eff07f31/biomedicines-12-00557-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db1e/10968041/b9cd59c9ef6b/biomedicines-12-00557-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db1e/10968041/93f6b3effeb8/biomedicines-12-00557-g006.jpg

相似文献

[1]
Characterization of Vagus Nerve Stimulation (VNS) Dose-Dependent Effects on EEG Power Spectrum and Synchronization.

Biomedicines. 2024-3-1

[2]
The Effectiveness of Vagus Nerve Stimulation in Drug-Resistant Epilepsy Correlates with Vagus Nerve Stimulation-Induced Electroencephalography Desynchronization.

Brain Connect. 2020-12

[3]
Electroencephalogram synchronization measure as a predictive biomarker of Vagus nerve stimulation response in refractory epilepsy: A retrospective study.

PLoS One. 2024

[4]
Vagus Nerve Stimulation Elicits Sleep EEG Desynchronization and Network Changes in Responder Patients in Epilepsy.

Neurotherapeutics. 2021-10

[5]
Responders to vagus nerve stimulation (VNS) in refractory epilepsy have reduced interictal cortical synchronicity on scalp EEG.

Epilepsy Res. 2015-7

[6]
Entropy in scalp EEG can be used as a preimplantation marker for VNS efficacy.

Sci Rep. 2023-11-1

[7]
Increase in 20-50 Hz (gamma frequencies) power spectrum and synchronization after chronic vagal nerve stimulation.

Clin Neurophysiol. 2005-9

[8]
Predicting success of vagus nerve stimulation (VNS) from interictal EEG.

Seizure. 2011-4-21

[9]
[Application of scalp electroencephalogram in treatment of refractory epilepsy with vagus nerve stimulation].

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2020-8-25

[10]
EEG Reactivity Predicts Individual Efficacy of Vagal Nerve Stimulation in Intractable Epileptics.

Front Neurol. 2019-5-2

引用本文的文献

[1]
Vagus nerve stimulation in Lennox-Gastaut syndrome: Twenty-four-month data and experience from the CORE-VNS study.

Epilepsia. 2025-5

[2]
A Comprehensive Overview of the Current Status and Advancements in Various Treatment Strategies against Epilepsy.

ACS Pharmacol Transl Sci. 2024-11-1

[3]
Vagus Nerve Stimulation Therapy in Epilepsy: An Overview of Technical and Surgical Method, Patient Selection, and Treatment Outcomes.

Brain Sci. 2024-7-2

本文引用的文献

[1]
Brain functional connectivity and network characteristics changes after vagus nerve stimulation in patients with refractory epilepsy.

Transl Neurosci. 2023-9-7

[2]
Synaptic alterations and neuronal firing in human epileptic neocortical excitatory networks.

Front Synaptic Neurosci. 2023-8-10

[3]
Modulation of the thalamus by microburst vagus nerve stimulation: a feasibility study protocol.

Front Neurol. 2023-6-13

[4]
The distribution and heterogeneity of excitability in focal epileptic network potentially contribute to the seizure propagation.

Front Psychiatry. 2023-3-14

[5]
Characterization of vagus nerve stimulation-induced pupillary responses in epileptic patients.

Brain Stimul. 2022

[6]
Immediate Effects of Vagal Nerve Stimulation in Drug-Resistant Epilepsy Revealed by Magnetoencephalographic Recordings.

Brain Connect. 2023-2

[7]
Vagus nerve stimulation-induced cognitive enhancement: Hippocampal neuroplasticity in healthy male rats.

Brain Stimul. 2022

[8]
Vagal nerve stimulation cycles alter EEG connectivity in drug-resistant epileptic patients: A study with graph theory metrics.

Clin Neurophysiol. 2022-10

[9]
Rapid titration of VNS therapy reduces time-to-response in epilepsy.

Epilepsy Behav. 2022-9

[10]
A prediction model integrating synchronization biomarkers and clinical features to identify responders to vagus nerve stimulation among pediatric patients with drug-resistant epilepsy.

CNS Neurosci Ther. 2022-11

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