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VAGAL NERVE STIMULATION
INTRODUCTION ,[object Object],[object Object]
Schematic drawing of the general placement of the  vagus nerve stimulation system and bipolar stimulating lead
VNS Therapy: components ,[object Object],[object Object],[object Object],[object Object],[object Object]
PULSE GENERATOR & BIPOLAR LEAD
The Model 400 NCP  Tunneling Tool  is used during implantation to create a subcutaneous path between the device in the chest and the vagus nerve in the neck
Programming wand
MAGNETS
procedure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
VNS
Lead connections close-up
Use of  programming wand  to adjust generator stimulator parameters
programming
stimulation parameter settings
Vagus nerve anatomy and mechanism of action of VNS
Mechanism of action ,[object Object],[object Object],[object Object]
Mechanism of action ,[object Object],[object Object],[object Object]
Indication ,[object Object],[object Object]
indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Efficacy, LABAR etal ,[object Object],[object Object],[object Object],[object Object]
Hosain etal in LGS ,[object Object],[object Object],[object Object],[object Object],[object Object]
MURPHY etal, ,[object Object],[object Object],[object Object],[object Object]
MURPHY etal, ,[object Object],[object Object],[object Object],[object Object]
PARKER etal, ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PATWARDAN etal, ,[object Object],[object Object],[object Object]
Sirven etal, ,[object Object],[object Object],[object Object],[object Object]
RESPONDER RATES.E03,E05 STUDIES
EFFICACY
LONG TERM CONTROL
responder rates for several of the  newer AEDs with VNS ,[object Object]
 
OTHER BENEFITS
Non epileptic indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Safety&tolerability ,[object Object],[object Object],[object Object],[object Object],[object Object]
safety
Adverse events,E05 STUDY
Clinical use of VNS for epilepsy
Clinical usage,programming ,[object Object],[object Object],[object Object],[object Object]
Efficacy of rapid cycling vagus nerve stimulation in pharmaco-resistant epilepsy ,[object Object],[object Object]
To conclude ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Vagal Nerve Stimulation for epilepsy