(Ivanhoe Newswire) -- An
implantable generator that
stimulates the vagal nerve can
reduce the incidence of seizures
in children with
difficult-to-control epilepsy.
Thats the finding from a new
study out of Childrens Mercy
Hospital in Kansas City, Mo.
Forty-five percent of patients
who received the device
experienced a more than
50-percent reduction in the
number of seizures, and nearly
20 percent were seizure-free for
the final six months of the
study. The treatment reduced the
intensity of seizures in half of
the patients.
Most children with epilepsy
can be treated with drug
therapy, but some children do
not respond to anything their
physicians try. In the late
1990s, the Food and Drug
Administration approved the use
of intermittent stimulation of
the left vagal nerve as a
therapy for adults and children
over age 12 who were not
responding to other treatments.
Most studies conducted since
then, including those involving
younger children, have shown
positive results for the
treatment.
This study set out to gauge
its effectiveness in 100
patients who were treated at one
pediatric epilepsy center. The
average age of the participants
was about 10 and all had failed
to respond to previous
treatments for their epilepsy.
The positive outcomes noted
above were seen in children
regardless of how old they were
or how long they had had
difficult-to-treat epilepsy.
Three patients developed
infections related to the
generator, and 24 had the
devices removed during the
study. Among the latter group
two patients subsequently died.
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SOURCE: Archives of
Pediatrics & Adolescent Medicine,
2003;157:560-564
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