Vagal nerve stimulator

Changed by Yahya Baba, 4 Feb 2021

Updates to Article Attributes

Body was changed:

Show markup changes

Vagal nerve stimulators are an implantable device used to treat a number of conditions although the mechanism of action has not been completely elucidated.

Indications

Vagal nerve stimulators are indicated in patients with ¹:

intractable epilepsy
- Lennox-Gastaut syndrome (off-label)
treatment-resistant depression
heart failure

Procedure

The internal pulse generator is typically inserted below the left clavicle and the leads traverse towards the vagus nerve, typically the left, in the lower neck.

Complications

hoarse voice
throat pain
coughing
shortness of breath
muscle pain / paresthesias in areas supplied by the vagus nerve

~~-<li>intractable <a title="Epilepsy" href="/articles/epilepsy">epilepsy</a><ul><li>~~
~~-<a title="Lennox-Gastaut syndrome" href="/articles/lennox-gastaut-syndrome-1">Lennox-Gastaut syndrome</a> (off-label)</li></ul>~~
+<li>intractable <a href="/articles/epilepsy">epilepsy</a><ul><li>
+<a href="/articles/lennox-gastaut-syndrome-1">Lennox-Gastaut syndrome</a> (off-label)</li></ul>
~~-<li>treatment-resistant <a title="Depression" href="/articles/major-depressive-disorder">depression</a>~~
+<li>treatment-resistant <a href="/articles/major-depressive-disorder">depression</a>
~~-<li><a title="Heart failure" href="/articles/congestive-cardiac-failure">heart failure</a></li>~~
-</ul><h4>Procedure</h4><p>The internal pulse generator is typically inserted below the left clavicle and the leads traverse towards the <a title="Vagus nerve" href="/articles/vagus-nerve">vagus nerve</a>, typically the left, in the lower neck.</p><h4>Complications</h4><ul>
+<li><a href="/articles/congestive-cardiac-failure">heart failure</a></li>
+</ul><h4>Procedure</h4><p>The internal pulse generator is typically inserted below the left clavicle and the leads traverse towards the <a href="/articles/vagus-nerve">vagus nerve</a>, typically the left, in the lower neck.</p><h4>Complications</h4><ul>

Images Changes:

Image 5 X-ray (Frontal) ( create )

ADVERTISEMENT: Supporters see fewer/no ads

{"current_user":null,"inclusions":[{"imageId":34757498,"studyId":64250,"caseSlug":"vagal-nerve-stimulator-3","caption":"Case 1","thumbnail":"https://prod-images-static.radiopaedia.org/images/34757498/625a5ef1f637392e7eead627860a67_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":5545344,"studyId":27002,"caseSlug":"vagal-nerve-stimulator","caption":"Case 2","thumbnail":"https://prod-images-static.radiopaedia.org/images/5545344/6478839a50e372e42159975be7dfc1_big_gallery.jpg","isStack":false,"diagnosticCertainty":"not_applicable"},{"imageId":33461372,"studyId":63018,"caseSlug":"vagal-nerve-stimulator-1","caption":"Case 3","thumbnail":"https://prod-images-static.radiopaedia.org/images/33461372/f46a6551f094240fa71132da669470_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"not_applicable"},{"imageId":36038846,"studyId":65577,"caseSlug":"vagal-nerve-stimulator-4","caption":"Case 4","thumbnail":"https://prod-images-static.radiopaedia.org/images/36038846/72060ff340139c876c0f2227b032c7_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":54251733,"studyId":102016,"caseSlug":"vagal-nerve-stimulator-5","caption":"Case 5","thumbnail":"https://prod-images-static.radiopaedia.org/images/54251733/frontal_eidt_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":60263952,"studyId":129172,"caseSlug":"vagal-nerve-stimulator-8","caption":"Case 6","thumbnail":"https://prod-images-static.radiopaedia.org/images/60263952/513548f2c44a95477bcf0684a0095f9fdd7101ddfc4e7dbdcc7da264a2a431c5_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"}],"ddx_inclusions":[{"imageId":25328,"studyId":7739,"caseSlug":"biventricular-pacemaker","caption":"Biventricular pacemaker","thumbnail":"https://prod-images-static.radiopaedia.org/images/25328/b7564de45760eff027c682a056a3e2_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":63500905,"studyId":141566,"caseSlug":"automatic-implantable-cardioverter-defibrillator-aicd","caption":"Automatic implantable cardioverter defibrillator (AICD)","thumbnail":"https://prod-images-static.radiopaedia.org/images/63500905/4c6857667412c63d29674cbbcd2ec405e1fc78aec68e5ab3a1205e24e271c2a7_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"}],"lang":"us"}