dc.contributor.author
Spindler, Philipp
dc.contributor.author
Vajkoczy, Peter
dc.contributor.author
Schneider, Ulf Christoph
dc.date.accessioned
2021-10-08T12:24:21Z
dc.date.available
2021-10-08T12:24:21Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/32239
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-31967
dc.description.abstract
With increasing use of vagus nerve stimulation (VNS) as an adjunct treatment for drug-resistant epilepsy, revision surgery of VNS grows in importance. Indications for revision surgery are diverse and extend of surgery varies. We report a retrospective review on indications and complications of VNS revision surgery at our center. Of 90 VNS procedures 54.4% were revision surgeries. Among those the vast majority was due to depletion of the battery. The entire system was explanted in 15 patients, due to no beneficial effect detected (n = 4), due to irritating side effects (n = 4), and so further diagnostics could cbe carried out (n = 7). Interestingly in three of the patients who underwent further diagnostics, resective epilepsy surgery was performed. Surgical complications occurred in 8.2%. In our experience, revision surgery of VNS was a frequent and safe procedure. There is a need to carefully reviewthe initial indication for VNS implantation prior to revision surgery.
en
dc.rights.uri
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject
Epilepsy surgery
en
dc.subject
Revision surgery
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Surgical revision after Vagus Nerve Stimulation. A case series
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.articlenumber
100437
dcterms.bibliographicCitation.doi
10.1016/j.ebr.2021.100437
dcterms.bibliographicCitation.journaltitle
Epilepsy & Behavior Reports
dcterms.bibliographicCitation.originalpublishername
Elsevier
dcterms.bibliographicCitation.volume
15
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
33912822
dcterms.isPartOf.eissn
2589-9864