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Case Reports
. 2023 Nov 27;16(11):e255897.
doi: 10.1136/bcr-2023-255897.

Perianaesthetic management on a child with Lennox-Gastaut Syndrome for vagus nerve stimulation (VNS) placement

Affiliations
Case Reports

Perianaesthetic management on a child with Lennox-Gastaut Syndrome for vagus nerve stimulation (VNS) placement

Tat Boon Yeap et al. BMJ Case Rep. .

Abstract

Vagus nerve stimulation (VNS) is a neurostimulatory modality in treating patients with medically resistant epilepsy (MRE). It was introduced in 1997 and has been proven to reduce patients' dependency on antiepileptic drugs and seizure frequency. However, the usage of VNS in children with MRE has been limited, especially those with Lennox Gastaut Syndrome (LGS). Our teenage boy with this syndrome developed MRE and successfully underwent VNS placement. We discuss the perianaesthetic challenges, a brief description of VNS and the reported successes in patients with LGS.

Keywords: Anaesthesia; Epilepsy and seizures; Neuroanaesthesia; Neurosurgery.

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Conflict of interest statement

Competing interests: None declared.

References

    1. Yeap TB, Ab Mukmin L, Ang SY, et al. . Perianaesthetic challenges in patients undergoing vagus nerve stimulation (VNS) placement. BMJ Case Rep 2023;16:e252692. 10.1136/bcr-2022-252692 - DOI - PMC - PubMed
    1. González HFJ, Yengo-Kahn A, Englot DJ. Vagus nerve stimulation for the treatment of epilepsy. Neurosurg Clin N 2019;30:219–30. 10.1016/j.nec.2018.12.005 - DOI - PMC - PubMed
    1. Breit S, Kupferberg A, Rogler G, et al. . 2018. Vagus nerve as modulator of the brain–gut axis in psychiatric and inflammatory disorders. Front Psychiatry;9:44. 10.3389/fpsyt.2018.00044 - DOI - PMC - PubMed
    1. Morkous SS. A pediatric patient with seizures and vagus nerve stimulation with worsening snoring and apneas. Cureus 2021;13. 10.7759/cureus.14379 - DOI - PMC - PubMed
    1. Shahwan A, Bailey C, Maxiner W, et al. . Vagus nerve stimulation for refractory epilepsy in children: more to VNS than seizure frequency reduction. Epilepsia 2009;50:1220–8. 10.1111/j.1528-1167.2008.01940.x - DOI - PubMed

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