Vagus nerve stimulation for chronic intractable hiccups

2005 ◽  
Vol 102 (5) ◽  
pp. 935-937 ◽  
Author(s):  
Bryan Rankin Payne ◽  
Robert Lyons Tiel ◽  
Mary Say Payne ◽  
Bruce Fisch
Keyword(s):  
Vagus Nerve ◽  
Phrenic Nerve ◽  
Surgical Intervention ◽  
Underlying Disease ◽  
Nerve Stimulator ◽  
Literature Cite ◽  
Initial Management ◽  
Content Type ◽  
Vagus Nerve Stimulator ◽  
Intractable Hiccups

✓ Intractable hiccups are debilitating and usually a result of some underlying disease. Initial management includes vagal maneuvers and pharmacotherapy. When hiccups persist despite medical therapy, surgical intervention rarely is pursued. Cases described in the literature cite successful phrenic nerve blockade, crush injury, or percutaneous phrenic nerve pacing. The authors report on a case of intractable hiccups occurring after a posterior fossa stroke. Complete resolution of the spasms has been achieved to date following the placement of a vagus nerve stimulator.

Insulation discontinuity in a vagus nerve stimulator lead: a treatable cause of intolerable stimulation-related symptoms

2010 ◽  
Vol 112 (4) ◽  
pp. 829-831 ◽  
Author(s):  
Mark C. Spitz ◽  
Ken R. Winston ◽  
Edward H. Maa ◽  
Steven G. Ojemann
Keyword(s):  
Vagus Nerve ◽  
Nerve Stimulation ◽  
Phrenic Nerve ◽  
Nerve Stimulator ◽  
Phrenic Nerve Stimulation ◽  
Diaphragmatic Dysfunction ◽  
New Device ◽  
Vagus Nerve Stimulator ◽  
Left Vagus

Discontinuity in the silicone insulation over an electrode of a left vagus nerve stimulator (VNS) allowed the aberrant leak of current to the phrenic nerve and other structures. This resulted in ipsilateral diaphragmatic dysfunction, inability to vocalize, and severe radiating pain into the jaw and upper incisor for the duration of each stimulation. The device was explanted and a new device was implanted. All stimulation-related symptoms ceased immediately. A similar discontinuity in the silicone insulation is the likely explanation for several prior reports of poorly understood pains and phrenic nerve stimulation in patients with VNSs. The findings and analysis of this case establish a rationale for consideration of replacement of the VNS lead in all similarly symptomatic patients.

Management of a parturient with seizure disorder and a vagus nerve stimulator

2021 ◽  
Vol 71 ◽  
pp. 110193
Author(s):  
Arthur Chyan ◽  
Sangeeta Kumaraswami ◽  
Suryanarayana Pothula
Keyword(s):  
Vagus Nerve ◽  
Seizure Disorder ◽  
Nerve Stimulator ◽  
Vagus Nerve Stimulator

Revision surgeries following vagus nerve stimulator implantation

2016 ◽  
Vol 30 ◽  
pp. 83-87 ◽  
Author(s):  
Sandi Lam ◽  
Yimo Lin ◽  
Daniel J. Curry ◽  
Gaddum D. Reddy ◽  
Peter C. Warnke
Keyword(s):  
Vagus Nerve ◽  
Nerve Stimulator ◽  
Vagus Nerve Stimulator

scholarly journals Magnetoencephalographic Analysis in Patients With Vagus Nerve Stimulator

2009 ◽  
Vol 41 (5) ◽  
pp. 383-387 ◽  
Author(s):  
Naoaki Tanaka ◽  
Elizabeth A. Thiele ◽  
Joseph R. Madsen ◽  
Blaise F. Bourgeois ◽  
Steven M. Stufflebeam
Keyword(s):  
Vagus Nerve ◽  
Nerve Stimulator ◽  
Vagus Nerve Stimulator

scholarly journals The therapeutic dilemma of vagus nerve stimulator-induced sleep disordered breathing

2016 ◽  
Vol 11 (2) ◽  
pp. 151 ◽  
Author(s):  
Hinaesh Upadhyay ◽  
Sushanth Bhat ◽  
Divya Gupta ◽  
Martha Mulvey ◽  
Sue Ming
Keyword(s):  
Vagus Nerve ◽  
Sleep Disordered Breathing ◽  
Nerve Stimulator ◽  
Vagus Nerve Stimulator ◽  
Disordered Breathing

Interrater reliability of Engel, International League Against Epilepsy, and McHugh seizure outcome classifications following vagus nerve stimulator implantation

2012 ◽  
Vol 10 (3) ◽  
pp. 226-229 ◽  
Author(s):  
Will P. Rodgers ◽  
Andrew J. Durnford ◽  
Fenella J. Kirkham ◽  
Andrea Whitney ◽  
Mark A. Mullee ◽  
...  
Keyword(s):  
Vagus Nerve ◽  
Scoring System ◽  
Interrater Reliability ◽  
University Hospital ◽  
Seizure Outcome ◽  
Nerve Stimulator ◽  
International League Against Epilepsy ◽  
Vagus Nerve Stimulator ◽  
Κ Statistic ◽  
International League

Object Interrater reliability as measured by the kappa (κ) statistic is a widely used and valuable tool to measure the robustness of a scoring system. Seizure frequency reduction is a central outcome measure following vagus nerve stimulation (VNS). A specific VNS scoring system has been proposed by McHugh, but its interrater reliability has not been tested. The authors assessed its interrater reliability and compared it with that of the Engel and International League Against Epilepsy (ILAE) systems. Methods Using the Engel, ILAE, and McHugh scoring systems, 3 observers independently rated the medical records of children who had undergone vagus nerve stimulator implantation between January 2001 and April 2011 at the Southampton University Hospital. The interrater agreements were then calculated using the κ statistic. Results Interrater reliability for the McHugh scale (κ0.693) was very good and was superior to those of the Engel (κ0.464) and ILAE (κ0.491) systems for assessing outcome in patients undergoing VNS. Conclusions The authors recommend considering the McHugh scoring system when assessing outcomes following VNS.

Vagus Nerve Stimulator

2022 ◽  
pp. 373-375
Author(s):  
John M. Stern ◽  
Noriko Salamon
Keyword(s):  
Vagus Nerve ◽  
Nerve Stimulator ◽  
Vagus Nerve Stimulator
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