Epilepsy Implant Device:
Vagus Nerve Stimulator

 

 

 





The Food and Drug Administration aapproved the first medical device for the treatment of epilepsy on July 16, 1997. The device, called the Vagus Nerve Stimulator is designed to prevent seizures. Many epileptics can control seizures with medication or surgery. (Surgery, hemispherectomies, can be helpful for carefully selected patients, especially children.) However, 15-20 percent of patients do not respond to these treatments. The vagus implant is a timely device for this segment of the population. The vagus nerve stimulator works similarly to a pacemaker. It delivers intermittent electric pulses 24 hours a day to the brain through a wire in the neck connected to the vagus nerve. When a patient senses the impending onset of a seizure, he/she can activate the device through a hand held magnet to deliver an additional dose of stimulation. The vagus nerve stimulator is made by Cyberonics, a Texas based company.


FDA APPROVAL


MEDLINE
<1>
Hornig GW. Murphy JV. Schallert G. Tilton C.
Left Vagus Nerve Stimulation in Children With Refractory Epilepsy- An Update.
Southern Medical Journal. 90(5): 484-488, 1997 May.

<2>
Ben-Menachem E
Modern Management of Epilepsy: Vagus Nerve Stimulation. [Review].
Baillieres Clinical Neurology. 5(4):841-848, 1996 Dec.

<3>
Takaya M. Terry WJ. Naritoku DK.
Vagus Nerve Stimulation Induces a Sustained Anticonvulsant Effect.
Epilepsia. 37(11): 1111-1116, 1996 Nov.

<4>
Salinsky MC. Uthman BM. Ristanovic RK. Wernicke JF. Tarver WB. George R. Sonnen A. Uton A. et al.
Vagus Nerve Stimulation For the Treatment of Medically Intractable Seizures - Results of a 1-Year Open-Extension Trial.
Archives of Neurology. 53(11):1176-1180, 1996 Nov.

<5>
Ko D. Heck C. Grafton S. Apuzzo MLJ. Couldwell WT. Chen T. Day JD. Zelman V. Smith T. Degiorgio CM.
Vagus Nerve Stimulation Activates Central Nervous System Structures In Epileptic Patients During Pet (H20)-0-15 Blood Flow Imaging.
Neurosurgery. 39(2): 426-430, 1996 Aug.

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