Vagus nerve stimulation
Complications
- Voice change / hoarseness
- Throat pain / pharyngitis
- Dyspnea
- Coughing
- Parasthesias
- Cardiac complications are rare
- Infection
- Hardware complications
- Injury to the vagus nerve - permanent voice change
Outcomes
- 1 year - 35% median reduction of seizure frequency
- 2 years - 43%
- Long term - 72% !
- Response varies widely, some achieve seizure freedom, others have no benefit!
- Improved alertness
- Improved quality of life
- Shorter seizures, reduced postictal confusion