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Related Experiment Video

Updated: Jul 16, 2026

Vagus Nerve Stimulation As an Adjunctive Neurostimulation Tool in Treatment-resistant Depression
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Vagus nerve stimulation for refractory epilepsy: a Belgian multicenter study.

Veerle De Herdt1, Paul Boon, Berten Ceulemans

  • 1Reference Center for Refractory Epilepsy, Ghent University Hospital, Belgium. Veerle.Deherdt@UGent.be

European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society
|March 31, 2007
PubMed
Summary

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Vagus nerve stimulation (VNS) effectively reduced monthly seizures by 51% in refractory epilepsy patients over a mean follow-up of 44 months. This adjunctive treatment demonstrated a 59% responder rate, confirming its long-term efficacy.

Area of Science:

  • Neurology
  • Epileptology
  • Neurosurgery

Background:

  • Vagus nerve stimulation (VNS) is an established add-on therapy for drug-resistant epilepsy.
  • It involves electrical stimulation of the vagus nerve via an implanted device.
  • Over 50,000 patients globally utilize VNS for epilepsy management.

Purpose of the Study:

  • To evaluate the long-term outcomes of VNS in patients with refractory epilepsy.
  • This retrospective study assessed VNS efficacy across seven Belgian epilepsy centers.
  • The study focused on sustained seizure reduction and responder rates.

Main Methods:

  • Inclusion criteria required at least 12 months of follow-up and seizure diaries.
  • Primary outcomes included reduction in monthly seizure frequency and the percentage of responders (≥50% seizure reduction).

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  • Data were collected retrospectively from 138 patients.
  • Main Results:

    • The mean follow-up period was 44 months.
    • A 51% overall reduction in mean monthly seizure frequency was observed.
    • The responder rate was 59%, with 9% achieving seizure freedom.

    Conclusions:

    • Long-term VNS use in Belgium confirms its efficacy as an adjunctive treatment for refractory epilepsy.
    • VNS provides significant seizure reduction and is a valuable therapeutic option.
    • The study supports the continued use of VNS for managing difficult-to-treat epilepsy cases.