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Neurology 2003;61:402-403
© 2003 American Academy of Neurology
Brief Communications

Video EEG monitoring prior to vagal nerve stimulator implantation

Hrayr Attarian, MD, Joshua Dowling, MD, Jewell Carter, RN and Frank Gilliam, MD MPH

From the Departments of Neurology (Drs. Attarian and Gilliam, J. Carter) and Neurological Surgery (Dr. Dowling), Washington University School of Medicine, St. Louis, MO.

Address correspondence and reprint requests to Dr. Hrayr Attarian, Department of Neurology, Washington University School of Medicine, Box 8111, 660 South Euclid Avenue, St. Louis, MO 63110; e-mail: attarianh{at}neuro.wustl.edu

Vagal nerve stimulation (VNS) is a safe alternative therapy for epilepsy but may have rare significant complications. There is no consensus regarding the necessity of video-EEG monitoring to characterize events before the VNS implantation. The authors discuss four patients who were inappropriately referred for or implanted with VNS without any previous video-EEG monitoring, in the context of their entire case experience.




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J Janszky, M Hoppe, F Behne, I Tuxhorn, H W Pannek, and A Ebner
Vagus nerve stimulation: predictors of seizure freedom
J. Neurol. Neurosurg. Psychiatry, March 1, 2005; 76(3): 384 - 389.
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