Yeap TB, Ab Mukmin L, Ang SY, Ghani AR. Perianaesthetic challenges in patients undergoing vagus nerve stimulation (VNS) placement.
BMJ Case Rep 2023;
16:e252692. [PMID:
36750294 PMCID:
PMC9906277 DOI:
10.1136/bcr-2022-252692]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023] Open
Abstract
Patients with medically refractory epilepsy (MRE) are indicated for vagus nerve stimulation (VNS) placement. Anaesthesia for VNS placement is extremely challenging and requires several considerations. We present a man in his 20s with MRE who successfully underwent VNS placement. We review the mechanism of action of VNS, anaesthetic challenges and measures to prevent seizures.
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