2013
Long-term vagus nerve stimulation in children with focal epilepsy
RYZÍ, Michal; Milan BRÁZDIL; Zdeněk NOVÁK; Jan CHRASTINA; Hana OŠLEJŠKOVÁ et al.Základní údaje
Originální název
Long-term vagus nerve stimulation in children with focal epilepsy
Autoři
RYZÍ, Michal; Milan BRÁZDIL; Zdeněk NOVÁK; Jan CHRASTINA; Hana OŠLEJŠKOVÁ; Ivan REKTOR a Robert KUBA
Vydání
ACTA NEUROLOGICA SCANDINAVICA, MALDEN, USA, WILEY-BLACKWELL, 2013, 0001-6314
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30000 3. Medical and Health Sciences
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 2.437
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/13:00067788
Organizační jednotka
Lékařská fakulta
UT WoS
Klíčová slova anglicky
child neurology; epilepsy; quality of life; seizures; treatment
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 27. 5. 2013 16:52, Ing. Mgr. Věra Pospíšilíková
Anotace
V originále
Objectives – The aim of the study was to evaluate the long-term efficacy and hospitalization rates in children with refractory focal epilepsy treated by vagus nerve stimulation. Materials and methods – We retrospectively analyzed 15 children with intractable focal epilepsy treated by vagus nerve stimulation (mean age of 14.6 +/- 2.5 years at the time of implantation). We analyzed the treatment effectiveness at 1, 2, and 5 year follow-up visits. We counted the average number of urgent hospitalizations and number of days of urgent hospitalization per year for each patient before and after the VNS implantation. Results – The mean seizure reduction was 42.5% at 1 year, 54.9% at 2 years, and 58.3% at 5 years. The number of responders was 7 (46.7%) at 1 year and 9 (60%) at both 2 and 5 years. The mean number of urgent hospitalizations per patient was 1.0 +/- 0.6 per year preoperatively and 0.3 +/- 0.5 per year post-operatively. The mean number of days of urgent hospitalization per patient was 9.3 +/- 6.1 per year preoperatively and 1.3 +/- 1.8 per year postoperatively. Conclusions – Vagus nerve stimulation is an effective method of treating children with refractory focal epilepsy. It leads to a substantial decrease in the number and duration of urgent hospitalizations.