Patient Education - Neurology - Vagal Nerve Stimulator (VNS)

Vagal Nerve Stimulator

Seizures occur when there is a sudden malfunction or “short circuit” in the nerves that carry electrical signals from the brain to the body. Depending on the location of this abnormal electrical activity within the brain, different physical symptoms can occur.

The VNS Therapy System works like a pacemaker to help control these electrical signals. The VNS Therapy generator is implanted just under the skin in the upper chest. Two thin, flexible wires are attached to the left vagus nerve in the neck.

The generator sends small electrical pulses to the vagus nerve, which then delivers the pulses to the brain. This gentle stimulation helps to prevent the electrical irregularities within the brain that cause seizures.


A Simple Procedure
The VNS Therapy system is implanted in a simple procedure that usually takes about one hour. This minor surgery is usually performed using general anesthesia, and patients can go home the same day. The procedure does NOT involve brain surgery.

To perform the implant, the surgeon makes two incisions: one on the upper chest area or under the arm, for the pulse generatorand one on the left side of the neck for the thin, flexible wires that connect the pulse generator to the vagus nerve. The incisions heal in one to two weeks, and the scars fade over time. The neck scar is usually located within a natural crease of the skin and becomes nearly invisible.  

Most insurance plans (including Medicare and Medicaid) cover VNS Therapy and the implant procedure for patients with seizure disorders. Learn more about coverage. As with any surgery, there is some risk of infection. However, the risk is very low—about the same as in other implant procedures.

VNS Therapy is easy to live with
After the surgical incisions have healed, your doctor or nurse will activate the VNS Therapy generator. The timing and amount of stimulation you receive will be programmed at that time. As soon as your VNS Therapy system is activated, it will provide therapy automatically, day after day. You do not have to worry about VNS Therapy interacting with medications The dose settings impact how long the battery will last; for example, the battery may last for three years at a higher setting, compared with eight years at a lower setting. You can use your special VNS Therapy magnet to take additional control of your seizures and side effects.


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ADDITIONAL RESOURCES

 VNS Disorder FAQ
 VNS Patient Manual
 VNS Assessment Quiz

 Epilepsy.com
 CDC & Epilepsy

Physicians with expertise in VNS

Colin N. Zadikoff, MD

 

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