Journal
EPILEPSY & BEHAVIOR CASE REPORTS
Volume 10, Issue -, Pages 111-113Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.ebcr.2018.08.002
Keywords
Lennox-Gastaut syndrome; Refractory epilepsy; Revision surgery; Seizure freedom; Vagus nerve stimulation
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We report a child with Lennox-Gastaut syndrome with an increase in seizure frequency and loss of psychomotor skills due to a disintegrated cervical VNS lead, not detected during standard device monitoring. The lead was completely removed and replaced by a new 303 lead on the same nerve segment. After reinitiating VNS, side effects forced us to switch it off, resulting in immediate seizure recurrence. EEG recording demonstrated a non-convulsive status epileptiais that was halted by reinitiating VNS therapy. Thereafter, he remained seizure free for eight months, and regained psychomotor development. (C) 2018 The Authors. Published by Elsevier Inc.
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