Titre : Stimulation du nerf vague

Stimulation du nerf vague : Questions médicales fréquentes

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augmentent le risque d'épilepsie ?\nLa dépression a-t-elle des facteurs de risque ?\nLes jeunes sont-ils plus à risque ?\nLe sexe influence-t-il le risque de dépression ?\nComment le mode de vie affecte-t-il le risque ?", "url": "https://questionsmedicales.fr/mesh/D055536?page=3#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer une épilepsie réfractaire ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Un EEG et des antécédents médicaux sont essentiels pour diagnostiquer l'épilepsie réfractaire." } }, { "@type": "Question", "name": "Quels tests pour évaluer la dépression ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des échelles d'évaluation et des entretiens cliniques aident à diagnostiquer la dépression." } }, { "@type": "Question", "name": "Quels critères pour la stimulation du nerf vague ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "La stimulation est envisagée après échec de plusieurs traitements médicamenteux." } }, { "@type": "Question", "name": "Comment évaluer l'efficacité de la stimulation ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "L'efficacité est mesurée par la réduction des crises ou des symptômes dépressifs." } }, { "@type": "Question", "name": "Quels spécialistes impliqués dans le diagnostic ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Neurologues et psychiatres sont souvent impliqués dans le diagnostic et le traitement." } }, { "@type": "Question", "name": "Quels symptômes traités par la stimulation ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Elle traite les crises d'épilepsie et les symptômes de dépression résistante." } }, { "@type": "Question", "name": "Quels effets secondaires possibles ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Les effets secondaires incluent des douleurs au cou, des troubles de la voix et des nausées." } }, { "@type": "Question", "name": "Comment se manifeste une crise épileptique ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Les crises peuvent se manifester par des convulsions, des pertes de conscience ou des sensations anormales." } }, { "@type": "Question", "name": "Quels signes de dépression à surveiller ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent la tristesse persistante, la fatigue, et la perte d'intérêt." } }, { "@type": "Question", "name": "La stimulation affecte-t-elle l'humeur ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, elle peut améliorer l'humeur chez certains patients souffrant de dépression." } }, { "@type": "Question", "name": "Peut-on prévenir les crises épileptiques ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Certaines mesures comme la prise régulière de médicaments peuvent aider à prévenir les crises." } }, { "@type": "Question", "name": "Comment réduire les symptômes dépressifs ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Une thérapie régulière et un mode de vie sain peuvent aider à réduire les symptômes." } }, { "@type": "Question", "name": "Y a-t-il des facteurs de risque à éviter ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Éviter l'alcool, le stress excessif et le manque de sommeil peut réduire les risques." } }, { "@type": "Question", "name": "La stimulation peut-elle être préventive ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Elle est principalement utilisée pour traiter, mais peut prévenir des crises chez certains patients." } }, { "@type": "Question", "name": "Quels conseils pour un mode de vie sain ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Exercice régulier, alimentation équilibrée et gestion du stress sont recommandés." } }, { "@type": "Question", "name": "Comment fonctionne la stimulation du nerf vague ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Elle envoie des impulsions électriques au nerf vague pour moduler l'activité cérébrale." } }, { "@type": "Question", "name": "Quelle est la procédure de mise en place ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Un dispositif est implanté chirurgicalement sous la peau, connecté au nerf vague." } }, { "@type": "Question", "name": "Combien de temps dure le traitement ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement est généralement à long terme, avec des ajustements réguliers." } }, { "@type": "Question", "name": "Quels médicaments peuvent être associés ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Des anticonvulsivants ou des antidépresseurs peuvent être utilisés en complément." } }, { "@type": "Question", "name": "Y a-t-il des alternatives à la stimulation ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Oui, d'autres options incluent la thérapie médicamenteuse et la thérapie comportementale." } }, { "@type": "Question", "name": "Quelles complications possibles de la stimulation ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications peuvent inclure infection, douleur au site d'implantation ou dysphonie." } }, { "@type": "Question", "name": "Comment gérer les effets secondaires ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Consulter un médecin pour ajuster le traitement ou gérer les effets secondaires." } }, { "@type": "Question", "name": "Y a-t-il des risques à long terme ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Des études sont nécessaires pour évaluer les effets à long terme de la stimulation." } }, { "@type": "Question", "name": "Comment reconnaître une infection post-opératoire ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent rougeur, chaleur, douleur accrue et écoulement au site d'implantation." } }, { "@type": "Question", "name": "Quels sont les impacts psychologiques possibles ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Des changements d'humeur ou d'anxiété peuvent survenir après la stimulation." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque d'épilepsie ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Antécédents familiaux, traumatismes crâniens et infections cérébrales augmentent le risque." } }, { "@type": "Question", "name": "La dépression a-t-elle des facteurs de risque ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antécédents familiaux, stress et événements traumatiques sont des facteurs de risque." } }, { "@type": "Question", "name": "Les jeunes sont-ils plus à risque ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Les jeunes adultes peuvent être plus à risque de développer des troubles épileptiques." } }, { "@type": "Question", "name": "Le sexe influence-t-il le risque de dépression ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les femmes sont souvent plus susceptibles de souffrir de dépression que les hommes." } }, { "@type": "Question", "name": "Comment le mode de vie affecte-t-il le risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Un mode de vie sédentaire et une mauvaise alimentation peuvent augmenter le risque de dépression." } } ] } ] }

Sources (10000 au total)

Benefits of vagus nerve stimulation on psychomotor functions in patients with severe drug-resistant epilepsy.

Patients with severe drug-resistant epilepsy (DRE) experience psychomotor disorders. Our study aimed to assess the psychomotor outcomes after vagus nerve stimulation (VNS) in this population.... We prospectively evaluated psychomotor function in 17 adult patients with severe DRE who were referred for VNS. Psychomotor functions were examined, in the preoperative period and at 18 months post-su... At 18 months post-VNS surgery, the Piaget-head scores increased by 3 points (p = 0.008) compared to baseline. Performances were also improved for ROCF test both in copy (+2.4 points, p = 0.001) and re... Patients with severe DRE treated with VNS experienced improved performance in terms of global psychomotor functions. Perceptual organization, visuospatial memory, laterality awareness, sustained atten...

Vagus nerve stimulation in refractory idiopathic generalised epilepsy: An Irish retrospective observational study.

Refractory idiopathic generalised epilepsy (IGE; also known as genetic generalised epilepsy) is a clinical challenge due to limited available therapeutic options. While vagus nerve stimulation (VNS) i... We conducted a single-centre retrospective analysis of adult IGE patients treated with VNS between January 2003 and January 2022. We analysed the efficacy, safety, tolerability, stimulation parameters... Twenty-three IGE patients were implanted with VNS between January 2003 and January 2022. Twenty-two patients (95.65%) were female. The median baseline seizure frequency was 30 per month (interquartile... Over half of the patients with refractory IGE experienced a positive response to VNS therapy. VNS represents a viable treatment option for patients with refractory IGE, particularly for females, when ...

Transcutaneous Auricular Vagus Nerve Stimulation in Pediatric Patients: A Systematic Review of Clinical Treatment Protocols and Stimulation Parameters.

Noninvasive transcutaneous vagus nerve stimulation (tVNS) has promising therapeutic potential in a wide range of applications across somatic and psychiatric conditions. Compared with invasive vagus ne... In this study, we aimed to review registered trials and published studies to synthesize existing tVNS treatment protocols and stimulation parameters applied in pediatric patients.... A systematic search of electronic data bases (PubMed, Scopus, MEDLINE, Cochrane Library, and PsycINFO) and ClinicalTrials was conducted. Information on patient and study-level characteristics (eg, cli... We identified a total of 15 publications (four study protocols) and 15 registered trials applying tVNS in pediatric patients (<18 years of age). Most of these studies did not exclusively address pedia... No dedicated pediatric tVNS devices exist. Neither stimulation parameters nor stimulation protocols for tVNS are properly justified in pediatric patients. Evidence on age-dependent stimulation effects...

Circadian stage-dependent and stimulation duration effects of transcutaneous auricular vagus nerve stimulation on heart rate variability.

Transcutaneous auricular vagus nerve stimulation (taVNS) can improve autonomic nerve function and is currently undergoing extensive clinical research; however, its efficacy heterogeneity has caused gr...

Vagus nerve stimulator revision in pediatric epilepsy patients: a technical note and case series.

Vagus nerve stimulation (VNS) is an adjunctive treatment in children with intractable epilepsy. When lead replacement becomes necessary, the old leads are often truncated and retained and new leads ar... Retrospective review examined 14 patients, at a single, tertiary-care, children's hospital, who underwent surgery to replace VNS leads, with complete removal of the existing lead from the vagus nerve ... Mean age at initial VNS placement was 7.6 years (SD 3.5, range 4.5-13.4). Most common etiologies of epilepsy were genetic (5, 36%) and cryptogenic (4, 29%). Lead replacement was performed at a mean of... Removal and replacement of VNS leads are feasible and can be safely performed in children. Further characterization of surgical technique, associated risk, impact on stimulation parameters, and long-t...