Vagal nerve stimulator complications - Revision history

ClaireLewis at 16:51, 3 October 2019

2019-10-03T16:51:46Z

← Older revision		Revision as of 16:51, 3 October 2019
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	==Complications==		==Complications==
	===Side Effects<ref>Serdaroglu A, Arhan E, Kurt G, et al. Long term effect of vagus nerve stimulation in pediatric intractable epilepsy: an extended follow-up. Childs Nerv Syst. 2016;32(4):641-6.</ref>===		===Side Effects<ref>Serdaroglu A, Arhan E, Kurt G, et al. Long term effect of vagus nerve stimulation in pediatric intractable epilepsy: an extended follow-up. Childs Nerv Syst. 2016;32(4):641-6.</ref>===
	*Hoarseness, [[cough]], [[sore throat]]		*[[dysphonia\|Hoarseness]], [[cough]], [[sore throat]]
	*Drooling, dysphagia		*Drooling, [[dysphagia]]
	*~~Torticolis~~/neck spasms		*[[Torticollis]]/neck spasms
	*Anorexia		*Anorexia
	*Shoulder abduction		*Shoulder abduction
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	*Vocal cord paralysis		*Vocal cord paralysis
	*Contraction of supraglottic structures→ [[stridor]], sleep apnea		*Contraction of supraglottic structures→ [[stridor]], sleep apnea
	*Facial muscle paresis		*[[facial paralysis\|Facial muscle paresis]]
	*Cardiac [[arrhythmia]] (rare, as usually left vagus is stimulated)		*Cardiac [[arrhythmia]] (rare, as usually left vagus is stimulated)
	*Lead fracture		*Lead fracture

Mholtz: Text replacement - "-->" to "→"

2017-02-08T22:34:24Z

Text replacement - "-->" to "→"

← Older revision		Revision as of 22:34, 8 February 2017
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	*Deep space infection (e.g. [[retropharyngeal abscess]], [[Ludwig's angina]]		*Deep space infection (e.g. [[retropharyngeal abscess]], [[Ludwig's angina]]
	*Vocal cord paralysis		*Vocal cord paralysis
	*Contraction of supraglottic ~~structures-->~~ [[stridor]], sleep apnea		*Contraction of supraglottic structures→ [[stridor]], sleep apnea
	*Facial muscle paresis		*Facial muscle paresis
	*Cardiac [[arrhythmia]] (rare, as usually left vagus is stimulated)		*Cardiac [[arrhythmia]] (rare, as usually left vagus is stimulated)

ClaireLewis: Created page with "==Background== thumb Used to treat refractory epilepsy Pulse generator implanted in chest, electric lead attached to vagus nerve in neck *Ge..."

2016-12-11T04:12:19Z

Created page with "==Background== thumb *Used to treat refractory epilepsy *Pulse generator implanted in chest, electric lead attached to vagus nerve in neck *Ge..."

New page

==Background==
[[File:VagusStimulator.jpg|thumb]]
*Used to treat refractory [[epilepsy]]
*Pulse generator implanted in chest, electric lead attached to vagus nerve in neck
*Generator stimulates vagal nerve at regular intervals
**Usually does NOT stimulate right vagus nerve (which innervates heart)
*Magnet over VNS leads to extra stimulation
**Patients/caregivers may use magnet in case of aura or breakthrough seizure

==Complications==
===Side Effects<ref>Serdaroglu A, Arhan E, Kurt G, et al. Long term effect of vagus nerve stimulation in pediatric intractable epilepsy: an extended follow-up. Childs Nerv Syst. 2016;32(4):641-6.</ref>===
*Hoarseness, [[cough]], [[sore throat]]
*Drooling, dysphagia
*Torticolis/neck spasms
*Anorexia
*Shoulder abduction
*[[Urinary retention]]
*Outbursts of laughter
===Complications<ref>Smyth MD, Tubbs RS, Bebin EM, Grabb PA, Blount JP. Complications of chronic vagus nerve stimulation for epilepsy in children. J Neurosurg. 2003;99(3):500-3.</ref>===
*Superficial [[skin infection]]
*Deep space infection (e.g. [[retropharyngeal abscess]], [[Ludwig's angina]]
*Vocal cord paralysis
*Contraction of supraglottic structures--> [[stridor]], sleep apnea
*Facial muscle paresis
*Cardiac [[arrhythmia]] (rare, as usually left vagus is stimulated)
*Lead fracture
**[[Twiddler's syndrome]]: repeated (often subconscious) manipulation of device, can lead to lead fracture or other device malfunction

==Evaluation==

==Management==

==Disposition==

==See Also==
*[[Medical device complications]]
*[[Seizure]]

==External Links==

==References==
<references/>

[[Category:Surgery]]
[[Category:Neurology]]

Vagal nerve stimulator complications - Revision history

ClaireLewis at 16:51, 3 October 2019

Mholtz: Text replacement - "-->" to "→"

ClaireLewis: Created page with "==Background== thumb *Used to treat refractory epilepsy *Pulse generator implanted in chest, electric lead attached to vagus nerve in neck *Ge..."

ClaireLewis: Created page with "==Background== thumb Used to treat refractory epilepsy Pulse generator implanted in chest, electric lead attached to vagus nerve in neck *Ge..."