Improved seizure control and regaining cognitive milestones after vagus nerve stimulation revision surgery in Lennox–Gastaut syndrome

We report a child with Lennox–Gastaut syndrome with an increase in seizure frequency and loss of psychomotor skills due to a disintegrated cervical VNS lead, not detected during standard device monitoring. The lead was completely removed and replaced by a new 303 lead on the same nerve segment. Afte...

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Autores principales: Braakman, Hilde M., Creemers, Joke, Hilkman, Danny M., Klinkenberg, Sylvia, Koudijs, Suzanne M., Debeij-van Hall, Mariette, Cornips, Erwin M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197149/
https://www.ncbi.nlm.nih.gov/pubmed/30364578
http://dx.doi.org/10.1016/j.ebcr.2018.08.002
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author Braakman, Hilde M.
Creemers, Joke
Hilkman, Danny M.
Klinkenberg, Sylvia
Koudijs, Suzanne M.
Debeij-van Hall, Mariette
Cornips, Erwin M.
author_facet Braakman, Hilde M.
Creemers, Joke
Hilkman, Danny M.
Klinkenberg, Sylvia
Koudijs, Suzanne M.
Debeij-van Hall, Mariette
Cornips, Erwin M.
author_sort Braakman, Hilde M.
collection PubMed
description We report a child with Lennox–Gastaut syndrome with an increase in seizure frequency and loss of psychomotor skills due to a disintegrated cervical VNS lead, not detected during standard device monitoring. The lead was completely removed and replaced by a new 303 lead on the same nerve segment. After reinitiating VNS, side effects forced us to switch it off, resulting in immediate seizure recurrence. EEG recording demonstrated a non-convulsive status epilepticus that was halted by reinitiating VNS therapy. Thereafter, he remained seizure free for eight months, and regained psychomotor development.
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spelling pubmed-61971492018-10-24 Improved seizure control and regaining cognitive milestones after vagus nerve stimulation revision surgery in Lennox–Gastaut syndrome Braakman, Hilde M. Creemers, Joke Hilkman, Danny M. Klinkenberg, Sylvia Koudijs, Suzanne M. Debeij-van Hall, Mariette Cornips, Erwin M. Epilepsy Behav Case Rep Article We report a child with Lennox–Gastaut syndrome with an increase in seizure frequency and loss of psychomotor skills due to a disintegrated cervical VNS lead, not detected during standard device monitoring. The lead was completely removed and replaced by a new 303 lead on the same nerve segment. After reinitiating VNS, side effects forced us to switch it off, resulting in immediate seizure recurrence. EEG recording demonstrated a non-convulsive status epilepticus that was halted by reinitiating VNS therapy. Thereafter, he remained seizure free for eight months, and regained psychomotor development. Elsevier 2018-09-11 /pmc/articles/PMC6197149/ /pubmed/30364578 http://dx.doi.org/10.1016/j.ebcr.2018.08.002 Text en © 2018 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Braakman, Hilde M.
Creemers, Joke
Hilkman, Danny M.
Klinkenberg, Sylvia
Koudijs, Suzanne M.
Debeij-van Hall, Mariette
Cornips, Erwin M.
Improved seizure control and regaining cognitive milestones after vagus nerve stimulation revision surgery in Lennox–Gastaut syndrome
title Improved seizure control and regaining cognitive milestones after vagus nerve stimulation revision surgery in Lennox–Gastaut syndrome
title_full Improved seizure control and regaining cognitive milestones after vagus nerve stimulation revision surgery in Lennox–Gastaut syndrome
title_fullStr Improved seizure control and regaining cognitive milestones after vagus nerve stimulation revision surgery in Lennox–Gastaut syndrome
title_full_unstemmed Improved seizure control and regaining cognitive milestones after vagus nerve stimulation revision surgery in Lennox–Gastaut syndrome
title_short Improved seizure control and regaining cognitive milestones after vagus nerve stimulation revision surgery in Lennox–Gastaut syndrome
title_sort improved seizure control and regaining cognitive milestones after vagus nerve stimulation revision surgery in lennox–gastaut syndrome
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197149/
https://www.ncbi.nlm.nih.gov/pubmed/30364578
http://dx.doi.org/10.1016/j.ebcr.2018.08.002
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