Effect of vagal nerve stimulation in Dyke-Davidoff-Masson syndrome with refractory generalized seizures - case report

We report a case of Dyke-Davidoff-Masson syndrome (DDMS) in whom left vagal nerve stimulation (VNS) resulted in worthwhile seizure reduction (Engel's Classification Class III). A 20-year-old woman with DDMS whose seizures were medically intractable was successfully treated using left VNS. She w...

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Published inTurkish neurosurgery Vol. 19; no. 2; pp. 197 - 199
Main Authors Erdem, Atilla, Acik, Vedat, Leventoğlu, Alev, Sarilar, Caner, Cansu, Ali
Format Journal Article
LanguageEnglish
Published Turkey Turkısh Neurosurgery Socıety 01.04.2009
Subjects
Brain - abnormalities
Epilepsy, Generalized - etiology
Epilepsy, Generalized - pathology
Epilepsy, Generalized - therapy
Female
Hemiplegia - pathology
Humans
Magnetic Resonance Imaging
Vagus Nerve Stimulation
Young Adult
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Abstract We report a case of Dyke-Davidoff-Masson syndrome (DDMS) in whom left vagal nerve stimulation (VNS) resulted in worthwhile seizure reduction (Engel's Classification Class III). A 20-year-old woman with DDMS whose seizures were medically intractable was successfully treated using left VNS. She was born at term by unsuccessful forceps-assisted vaginal delivery. Her seizures started at the age of 4. There was no detectable mental retardation. Her seizures were intractable although she had been receiving three medications for sixteen years. She underwent left vagal nerve stimulator placement. Pre-stimulation seizure frequency was three seizures per month. This case shows that VNS is an alternative treatment procedure for medically intractable seizures in DDMS. To our knowledge, this is the first case in the world literature reporting worthwhile seizure reduction in DDMS after VNS.
AbstractList We report a case of Dyke-Davidoff-Masson syndrome (DDMS) in whom left vagal nerve stimulation (VNS) resulted in worthwhile seizure reduction (Engel's Classification Class III). A 20-year-old woman with DDMS whose seizures were medically intractable was successfully treated using left VNS. She was born at term by unsuccessful forceps-assisted vaginal delivery. Her seizures started at the age of 4. There was no detectable mental retardation. Her seizures were intractable although she had been receiving three medications for sixteen years. She underwent left vagal nerve stimulator placement. Pre-stimulation seizure frequency was three seizures per month. This case shows that VNS is an alternative treatment procedure for medically intractable seizures in DDMS. To our knowledge, this is the first case in the world literature reporting worthwhile seizure reduction in DDMS after VNS.
Bu yazımızda Dyke-Davidoff-Masson sendromu (DDMS) olup sol vagal sinir stimulatörü ile belirgin şekilde nöbetleri azalan (Engel grade III) 20 yaşında kadın hastayı sunduk. Özgeçmişinden forseps yardımı ile zor doğum öyküsü alındı. DDMS tanısı olan hastanın 4 yaşında başlayan ilaca dirençli epilepsi öyküsü mevcuttu. Mental retardasyon tespit edilmedi. Altı yıldır 3'lü antiepileptik ilaç tedavisi almasına rağmen nöbetleri devam etmekteydi. Hastaya soldan vagal sinir stimülatörü takıldı. Postoperatif dönemde hastanın nöbet frekansı ve şiddetinde anlamlı düzelme kaydedildi. Bu vaka ile, DDMS'na bağlı ilaca dirençli epilepsilerde vagal sinir stimülasyonunun, geniş lezyonektomilere önemli bir alternatif olabileceği vurgulanmak istenmiştir. İncelenebildiği kadarı ile bu vaka, medikal literatürde vagal sinir stimülatörü kullanılarak nöbetleri anlamlı ölçüde kontrol edilebilen ilk DDMS vakasıdır. We report a case of Dyke-Davidoff-Masson syndrome (DDMS) in whom left vagal nerve stimulation (VNS) resulted in worthwhile seizure reduction (Engel's Classification Class III). A 20-year-old woman with DDMS whose seizures were medically intractable was successfully treated using left VNS. She was born at term by unsuccessful forceps-assisted vaginal delivery. Her seizures started at the age of 4. There was no detectable mental retardation. Her seizures were intractable although she had been receiving three medications for sixteen years. She underwent left vagal nerve stimulator placement. Pre-stimulation seizure frequency was three seizures per month. This case shows that VNS is an alternative treatment procedure for medically intractable seizures in DDMS. To our knowledge, this is the first case in the world literature reporting worthwhile seizure reduction in DDMS after VNS.
Author Acik, Vedat
Sarilar, Caner
Leventoğlu, Alev
Erdem, Atilla
Cansu, Ali
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Snippet We report a case of Dyke-Davidoff-Masson syndrome (DDMS) in whom left vagal nerve stimulation (VNS) resulted in worthwhile seizure reduction (Engel's...
Bu yazımızda Dyke-Davidoff-Masson sendromu (DDMS) olup sol vagal sinir stimulatörü ile belirgin şekilde nöbetleri azalan (Engel grade III) 20 yaşında kadın...
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SubjectTerms Brain - abnormalities
Epilepsy, Generalized - etiology
Epilepsy, Generalized - pathology
Epilepsy, Generalized - therapy
Female
Hemiplegia - pathology
Humans
Magnetic Resonance Imaging
Vagus Nerve Stimulation
Young Adult
Title Effect of vagal nerve stimulation in Dyke-Davidoff-Masson syndrome with refractory generalized seizures - case report
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