Improved seizure control and regaining cognitive milestones after vagus nerve stimulation revision surgery in Lennox-Gastaut syndrome

Hilde M. Braakman; Joke Creemers; Danny M. Hilkman; Sylvia Klinkenberg; Suzanne M. Koudijs; Mariette Debeij-van Hall; Erwin M. Cornips

doi:10.1016/j.ebcr.2018.08.002

Improved seizure control and regaining cognitive milestones after vagus nerve stimulation revision surgery in Lennox-Gastaut syndrome

Hilde M. Braakman^*, Joke Creemers, Danny M. Hilkman, Sylvia Klinkenberg, Suzanne M. Koudijs, Mariette Debeij-van Hall, Erwin M. Cornips

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

4 Citations (Web of Science)

Abstract

We report a child with Lennox-Gastaut syndrome with an increase in seizure frequency and loss of psychomotor skills due to a disintegrated cervical VNS lead, not detected during standard device monitoring. The lead was completely removed and replaced by a new 303 lead on the same nerve segment. After reinitiating VNS, side effects forced us to switch it off, resulting in immediate seizure recurrence. EEG recording demonstrated a non-convulsive status epileptiais that was halted by reinitiating VNS therapy. Thereafter, he remained seizure free for eight months, and regained psychomotor development. (C) 2018 The Authors. Published by Elsevier Inc.

Original language	English
Pages (from-to)	111-113
Number of pages	3
Journal	Epilepsy & behavior case reports
Volume	10
DOIs	https://doi.org/10.1016/j.ebcr.2018.08.002
Publication status	Published - 2018

Keywords

Lennox-Gastaut syndrome
Refractory epilepsy
Revision surgery
Seizure freedom
Vagus nerve stimulation

Access to Document

10.1016/j.ebcr.2018.08.002

Cite this

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title = "Improved seizure control and regaining cognitive milestones after vagus nerve stimulation revision surgery in Lennox-Gastaut syndrome",

abstract = "We report a child with Lennox-Gastaut syndrome with an increase in seizure frequency and loss of psychomotor skills due to a disintegrated cervical VNS lead, not detected during standard device monitoring. The lead was completely removed and replaced by a new 303 lead on the same nerve segment. After reinitiating VNS, side effects forced us to switch it off, resulting in immediate seizure recurrence. EEG recording demonstrated a non-convulsive status epileptiais that was halted by reinitiating VNS therapy. Thereafter, he remained seizure free for eight months, and regained psychomotor development. (C) 2018 The Authors. Published by Elsevier Inc.",

keywords = "Lennox-Gastaut syndrome, Refractory epilepsy, Revision surgery, Seizure freedom, Vagus nerve stimulation",

author = "Braakman, {Hilde M.} and Joke Creemers and Hilkman, {Danny M.} and Sylvia Klinkenberg and Koudijs, {Suzanne M.} and {Debeij-van Hall}, Mariette and Cornips, {Erwin M.}",

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doi = "10.1016/j.ebcr.2018.08.002",

language = "English",

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pages = "111--113",

journal = "Epilepsy & behavior case reports",

issn = "2213-3232",

publisher = "Elsevier Science",

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T1 - Improved seizure control and regaining cognitive milestones after vagus nerve stimulation revision surgery in Lennox-Gastaut syndrome

AU - Braakman, Hilde M.

AU - Creemers, Joke

AU - Hilkman, Danny M.

AU - Klinkenberg, Sylvia

AU - Koudijs, Suzanne M.

AU - Debeij-van Hall, Mariette

AU - Cornips, Erwin M.

PY - 2018

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AB - We report a child with Lennox-Gastaut syndrome with an increase in seizure frequency and loss of psychomotor skills due to a disintegrated cervical VNS lead, not detected during standard device monitoring. The lead was completely removed and replaced by a new 303 lead on the same nerve segment. After reinitiating VNS, side effects forced us to switch it off, resulting in immediate seizure recurrence. EEG recording demonstrated a non-convulsive status epileptiais that was halted by reinitiating VNS therapy. Thereafter, he remained seizure free for eight months, and regained psychomotor development. (C) 2018 The Authors. Published by Elsevier Inc.

KW - Lennox-Gastaut syndrome

KW - Refractory epilepsy

KW - Revision surgery

KW - Seizure freedom

KW - Vagus nerve stimulation

U2 - 10.1016/j.ebcr.2018.08.002

DO - 10.1016/j.ebcr.2018.08.002

M3 - Article

C2 - 30364578

VL - 10

SP - 111

EP - 113

JO - Epilepsy & behavior case reports

JF - Epilepsy & behavior case reports

SN - 2213-3232

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