Vagus nerve stimulation for the treatment of epilepsy: things to note on the protocols, the effects and the mechanisms of action
Küçük Resim Yok
Tarih
2022
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Taylor & Francis Ltd
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Epilepsy is a chronic brain disorder that is characterized by repetitive un-triggered seizures that occur severally within 24 h or more. Non-pharmacological methods for the management of epilepsy were discussed. The non-pharmacological methods include the vagus nerve stimulation (VNS) which is subdivided into invasive and non-invasive techniques. For the non-invasive techniques, the auricular VNS, stimulation of the cervical branch of vagus nerve in the neck, manual massage of the neck, and respiratory vagal nerve stimulation were discussed. Similarly, the stimulation parameters used and the mechanisms of actions through which VNS improves seizures were also discussed. Use of VNS to reduce seizure frequency has come a long way. However, considering the cost and side effects of the invasive method, non-invasive techniques should be given a renewed attention. In particular, respiratory vagal nerve stimulation should be considered. In doing this, the patients should for instance carry out slow-deep breathing exercise 6 to 8 times every 3 h during the waking hours. Slow-deep breathing can be carried out by the patients on their own; therefore this can serve as a form of self-management.
Açıklama
Anahtar Kelimeler
Epilepsy, bioelectronic medicine, vagus nerve stimulation, electrical stimulation, electroceutical therapy, breathing exercise, massage, quality of life, Heart-Rate-Variability, Vagal-Stimulation, Developing Brain, Seizures, Model, Metaanalysis, Termination, Modulation, Initiation, Serotonin
Kaynak
International Journal of Neuroscience
WoS Q Değeri
Q4
Scopus Q Değeri
Q2
