我的做法：小儿药物难治性癫痫的迷走神经刺激手术技术
How I do it: surgical techniques for vagus nerve stimulation in pediatric drug-resistant epilepsy.
作者信息
Cicutti Santiago Ezequiel, Cuello Javier F, Gromadzyn Guido P, Bartuluchi Marcelo
机构信息
Neurosurgery Department, Juan P. Garrahan Hospital, Buenos Aires, Argentina.
Neurosurgery Department, Hospital Provincial Petrona V. de Cordero, San Fernando, Buenos Aires, Argentina.
出版信息
Acta Neurochir (Wien). 2025 Feb 20;167(1):50. doi: 10.1007/s00701-025-06432-8.
BACKGROUND
Vagus nerve stimulation (VNS) is a neuromodulatory treatment for refractory epilepsy, involving electrical stimulation of the vagus nerve via a subcutaneously implanted pulse generator.
METHOD
We present a step-by-step description of the VNS implantation technique, incorporating tips and tricks from an epilepsy surgeon with over 20 years of experience (MB).
CONCLUSION
Proper patient selection, meticulous surgical technique, and comprehensive postoperative care, supported by educational resources such as surgical technique articles, videos, and simulators, are crucial for minimizing complications and optimizing patient outcomes.
背景
迷走神经刺激术（VNS）是一种用于治疗难治性癫痫的神经调节疗法，通过皮下植入的脉冲发生器对迷走神经进行电刺激。
方法
我们逐步介绍了VNS植入技术，并融入了一位拥有20多年经验的癫痫外科医生（MB）的技巧和窍门。
结论
合适的患者选择、细致的手术技术以及全面的术后护理，再辅以手术技术文章、视频和模拟器等教育资源，对于将并发症降至最低并优化患者治疗效果至关重要。
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