Mechanisms and State of the Art of Vagus Nerve Stimulation
作者:
Markus Kosel,
Thomas Schlaepfer,
期刊:
The Journal of ECT
(OVID Available online 2002)
卷期:
Volume 18,
issue 4
页码: 189-192
ISSN:1095-0680
年代: 2002
出版商: OVID
关键词: Vagus nerve stimulation;Depression
数据来源: OVID
摘要:
Vagus nerve stimulation (VNS) is an established treatment of medically refractory partial-onset seizures. Recent data from an open-label multicenter pilot study also suggest a potential clinical usefulness in the acute and maintenance treatment of drug-resistant depressive disorder. Despite the fact that surgery is needed to implant the stimulating device, the option of long-term use largely devoid of severe side effects would give this treatment modality a privileged place in the management of drug-resistant depression. However, definite therapeutic effects of clinical significance remain to be confirmed in large, placebo-controlled trials. Besides the potential clinical usefulness, VNS can be used as a research tool in epilepsy patients implanted for clinical reasons, allowing neurophysiologic investigations of the parasympathetic system and its interactions with other parts of the central nervous system.
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