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The use of neurostimulation to treat epileptic seizures is only recommended in those who have failed multiple medications for the treatment of their seizures. The NeuroPace RNS system was approved for use by the FDA in 2013 and is the only medical device for epilepsy that uses responsive neurostimulation. [1]
The review also found that, "Many studies and case series demonstrated the efficacy of VNS as an adjuvant procedure for TRD (treatment resistant depression). The effect occurs with a latency period of 3–12 months and possibly increases with the duration of VNS." [30] One study of only 10 weeks found no effect. [32]
The anterior nucleus of the thalamus has been studied, which has shown a significant seizure reduction with the stimulator on versus off during several months after stimulator implantation. [6] Moreover, the cluster headache (CH) can be treated by using a temporary stimulating electrode at sphenopalatine ganglion (SPG).
Nearly 20 years ago, knowing all other options had failed, Nick’s sister, a nurse, recommended he check out a new treatment called vagus nerve stimulation, or VNS.
Vagus nerve stimulation has been shown to inhibit the activity of the GP, possibly through nerves that express Nav1.8 (a sodium channel subtype that is necessary for action potentials in these nerves), [4] but combining GP ablation with pulonary vein isolation may be a superior option.
dTMS (deep transcranial magnetic stimulation) is a continuation of the same idea as rTMS, but with the hope that deeper stimulation of subcortical areas of the brain leads to increased effect. [36] A 2015 systematic review and health technology assessment found lacking evidence in order to recommend the method over either ECT or rTMS because so ...
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