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Vagus nerve stimulation outcome prediction: from simple parameters to advanced models

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F22%3A00076710" target="_blank" >RIV/00159816:_____/22:00076710 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216224:14110/22:00129736

  • Result on the web

    <a href="http://www.elis.sk/download_file.php?product_id=7788&session_id=rhdsqlrbjs63gbjmr024us8i14" target="_blank" >http://www.elis.sk/download_file.php?product_id=7788&session_id=rhdsqlrbjs63gbjmr024us8i14</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.4149/BLL_2022_103" target="_blank" >10.4149/BLL_2022_103</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Vagus nerve stimulation outcome prediction: from simple parameters to advanced models

  • Original language description

    Since its approval as an adjunct treatment for refractory partial epilepsy, the positive effects of vagus nerve stimulation (VNS) on seizure frequency and severity have been supported by many studies. Seizure reduction of more than 50 % can be expected in at least 50 % of patients. However, a complete post-VNS seizure freedom is rarely achieved and 25 % of patients do not benefi t from VNS. Our study provides an overview of the potential predictors of VNS response, from the most simple and basic data to sophisticated EEG processing studies and functional imaging studying brain connectivity. The data support better outcomes in younger patients with early VNS implantation, in patients with posttraumatic epilepsy or tuberous sclerosis, and in patients without bilateral interictal epileptiform discharges. The variability of heart activity has also been studied with some promising results. Because the generally accepted hypothesis of the VNS mechanism is the modulation of synaptic activity in multiple cortical and subcortical regions of the brain, the studies of brain response to external stimulation and/or of brain connectivity were used for models predicting the effect of VNS in individual patients. Although the predictive value of these models is high, the required special equipment and sophisticated mathematical tools limit their routine use (C) 2022. Bratislava Medical Journal. All Rights Reserved.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30200 - Clinical medicine

Result continuities

  • Project

    <a href="/en/project/NV19-04-00343" target="_blank" >NV19-04-00343: Prediction of Stimulation Efficacy in Epilepsy (PRESEnCE)</a><br>

  • Continuities

    P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Others

  • Publication year

    2022

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Bratislavské Lekárske Listy

  • ISSN

    0006-9248

  • e-ISSN

  • Volume of the periodical

    123

  • Issue of the periodical within the volume

    9

  • Country of publishing house

    SK - SLOVAKIA

  • Number of pages

    7

  • Pages from-to

    641-647

  • UT code for WoS article

    000903730000006

  • EID of the result in the Scopus database

    2-s2.0-85135856094