Remote programming after vagus nerve stimulation in refractory epilepsy
10.3760/cma.j.cn115354-20210521-00328
- VernacularTitle:远程调控在难治性癫痫迷走神经刺激术后的应用
- Author:
Yinbao QI
1
;
Dong ZHANG
;
Lanlan WANG
;
Xianming FU
;
Ruobing QIAN
Author Information
1. 中国科学技术大学附属第一医院（安徽省立医院）神经外科，合肥 230001
- Keywords:
Refractory epilepsy;
Vagus nerve stimulation;
Remote programming
- From:
Chinese Journal of Neuromedicine
2021;20(9):932-935
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the efficacy of remote programming after vagus nerve stimulation (VNS) in patients with refractory epilepsy.Methods:Thirty-four patients who received VNS in our hospital from October 2019 to October 2020 were chosen in our study. Among them, 19 patients accepted remote programming (remote programming group) and 15 patients regularly came to the outpatient clinic for regulation (outpatient regulation group). The seizure frequency, response rate (seizure frequency decreased by≥50%), McHugh grading, and incidence of postoperative complications between the 2 groups were compared 6 months after VNS.Results:The seizure frequency in the remote programming group and outpatient regulation group was 2 (0, 4) times/month and 4(1, 24) times/month, without significant difference ( Z=-1.602, P=0.105). The proportion of patients enjoying effective treatment in the two groups was 13/19 and 8/15, without significant difference ( P=0.781). Results of McHugh grading showed no significant difference between the two groups ( Z=-0.728, P=0.467). The proportion of patients with postoperative complications in the two groups was 3/19 and 2/15, without significant difference ( P=0.625). Conclusion:The remote programming after VNS is safe and effective, which can become an important complementary approach for outpatient regulation.
