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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2016; 74(12): 1031-1034
DOI: 10.1590/0004-282X20160158
CONSENSUS

Neuromodulation in refractory epilepsy: Brazilian specialists consensus

Neuromodulação em epilepsia refratária: consenso dos especialistas brasileiros
Vera Cristina Terra
1   Liga Brasileira de Epilepsia, Comissão de Neuromodulação, São Paulo SP, Brasil;
,
Isabella D’Andrea-Meira
1   Liga Brasileira de Epilepsia, Comissão de Neuromodulação, São Paulo SP, Brasil;
,
Ricardo Amorim
2   Academia Brasileira de Neurologia, Departamento Científico de Epilepsia, São Paulo SP, Brasil.
,
Francisco Arruda
1   Liga Brasileira de Epilepsia, Comissão de Neuromodulação, São Paulo SP, Brasil;
,
Andrea Julião de Oliveira
1   Liga Brasileira de Epilepsia, Comissão de Neuromodulação, São Paulo SP, Brasil;
,
Luciano De Paola
1   Liga Brasileira de Epilepsia, Comissão de Neuromodulação, São Paulo SP, Brasil;
,
Adélia Maria de Miranda Henriques-Souza
1   Liga Brasileira de Epilepsia, Comissão de Neuromodulação, São Paulo SP, Brasil;
2   Academia Brasileira de Neurologia, Departamento Científico de Epilepsia, São Paulo SP, Brasil.
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ABSTRACT

Epilepsy is a potentially devastating brain disorder characterized by a predisposition to spontaneous epileptic seizures. In patients with medically refractory epilepsy, new non-pharmacological therapeutic approaches may be considered. In this scenario, palliative surgery such as vagus nerve stimulation (VNS) or deep brain stimulation (DBS) may be indicated in a subset of patients. In this paper we make recommendations for the use of VNS and DBS in patients in Brazil with refractory epilepsy.

RESUMO

Epilepsia é uma doença cerebral potencialmente devastadora caracterizada por predisposição em gerar crises epilépticas espontâneas. Em pacientes com epilepsia refratária novas abordagens terapêuticas, não farmacológicas, podem ser consideradas. Neste cenário, cirurgias paliativas, como a estimulação do nervo vago (VNS) ou estimulação cerebral profunda (DBS) podem ser indicadas em um subgrupo de pacientes. Neste trabalho sugerimos recomendações sobre as indicações de uso do VNS e do DBS em pacientes com epilepsia refratária no Brasil.

vagus nerve stimulation - deep brain stimulation - epilepsy
estimulação do nervo vago - estimulação encefálica profunda - epilepsia


Publication History

Received: 16 June 2016

Accepted: 01 September 2016

Article published online:
06 September 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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