engleski

The effect of vagus nerve stimulation on migraine in patient with intractable epilepsy : case report

A 42-year-old female had a long history of partial complex seizures dating from the age of 13. She was treated with the following anti- epileptic drugs (AEDs): primidone and phenytoin. In 2003, she had stopped AED treatments voluntarily due to ineffective medical therapy, and shortly after she was admitted again because of convulsive epileptic status. By 2003, she was experiencing six or seven seizures monthly. Magnetic resonance imaging (MRI) demonstrated a localized atrophy of the left middle frontal gyrus with a subcortical area of encephalomalacia. Electroencephalography (EEG) disclosed left fronto-centro-temporal interictal epileptiform discharges (IED) with diffuse paroxysmal dysrhythmic changes and elements of slow spike- wave complexes. Single photon emission computed tomography (SPECT) showed an area of hypoperfusion in the left frontal area. In 2008, she experienced ten partial seizures per month, and by that time, the following AEDs failed for the patient: primidone ...

Epilepsy therapy; Chronic pain; Headaches; Migraine; Vagus nerve stimulation

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