Abstract

Vagus nerve stimulation (VNS) is generally considered as a palliative treatment for patients with drug-resistant partial-onset epilepsy. We report a case in which a patient with drug-resistant epilepsia partialis continua (EPC), became seizure-free for 15 months with VNS combined with antiepileptic medication regimens. To our knowledge, similar cases have not been reported previously.

Highlights

  • Vagus nerve stimulation (VNS) is an effective adjunctive therapy for patients with drug-resistant partial-onset epilepsy [1]

  • We report that a patient became seizure-free in epilepsia partialis continua (EPC) with VNS therapy combined with antiepileptic drug (AED) regimens

  • The patient had two prominent twitches of the mouth per week. His stimulation current output was changed to 0.50 mA, and his seizures became countless as they were pre-operation

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Summary

Introduction

Vagus nerve stimulation (VNS) is an effective adjunctive therapy for patients with drug-resistant partial-onset epilepsy [1]. It decreases seizure frequency by approximately 50% in 30–40% of implanted patients [2]. The efficacy of VNS has been demonstrated in treating various types of generalized epilepsies, including genetic generalized epilepsy (GGE) and Lennox–Gastaut syndrome [3]. We report that a patient became seizure-free in epilepsia partialis continua (EPC) with VNS therapy combined with antiepileptic drug (AED) regimens

Case report
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