On August 25, the first neurosurgery successfully performed vagus nerve stimulation for two children with drug-refractory epilepsy.
He is 11 years old and has refractory epilepsy and hypoxic ischemic encephalopathy. He has had seizures for 9 years. Dada is only 5 years old, he was diagnosed with symptomatic epilepsy, Doose syndrome (myoclonus with standing can not be epilepsy syndrome), at the age of two, there was a loss of paroxysmal consciousness, upper limbs, and falls.
The chief physician of the Department of Neurosurgery, Li Yunlin, evaluated the situation of two children and thought that they belonged to severe epilepsy syndrome and epileptic encephalopathy. The common symptoms were convulsions, and they were in sports, growth, and mental development. Obviously behind the same age children.
Epilepsy, commonly known as "shofar mad" and "goat epilepsy", is a chronic recurrent transient brain dysfunction syndrome characterized by repeated epileptic seizures caused by abnormal discharge of brain neurons. The overall prevalence rate is 7.0‰, annual incidence. It is 28.8/100,000. Epilepsy is a chronic disease, and long-term frequent episodes can cause serious impact on the body and mind and intelligence of patients. Patients with epilepsy are treated with regular anti-epileptic drugs, and about 70% of patients have control over their seizures. However, there are also anti-epileptic drugs for two years or more, and the condition is still uncontrollable. This situation belongs to drug-refractory epilepsy, and vagus nerve stimulation (VNS) can greatly improve the disease.
Vagus nerve stimulation was proposed in 1988 by Dr. Jacob Zabarra of the United States, and then applied to the clinic. It is believed that stimulating the vagus nerve may change the potential in the brain, thereby blocking or even preventing seizures. It has been used by patients all over the world. In about 80% of patients, epilepsy can be improved, and 50% of patients can reduce their seizures by half.
The advantage of vagus nerve stimulation is that it is easy to operate and has long-term effects. Compared with craniotomy, it is relatively safe and has few side effects. This technology has also been carried out in adult hospitals in China, but there are not many cases. Compared with adults, the advantage of children using this technology is that epilepsy is at the initial stage of the disease, the treatment effect is better than that of adults, and may return the child to the normal orbit of growth and development.
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