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01-12-2024 | Nerve Stimulation | Case Report

Delayed vagal nerve compressive neuropathy following placement of vagal nerve stimulator: case report

Authors: Hari McGrath, Zach Pennington, Madeline R. Cross, Ernest M. Hoffman, Nicholas M. Gregg, Kendall K. Tasche, Semirra L. Bayan, Jamie J. Van Gompel

Published in: Acta Neurochirurgica | Issue 1/2024

Abstract

Vagal neuropathy causing vocal fold palsy is an uncommon complication of vagal nerve stimulator (VNS) placement. It may be associated with intraoperative nerve injury or with device stimulation. Here we present the first case of delayed, compressive vagal neuropathy associated with VNS coil placement which presented with progressive hoarseness and vocal cord paralysis. Coil removal and vagal neurolysis was performed to relieve the compression. Larger 3 mm VNS coils were placed for continuation of therapy. Coils with a larger inner diameter should be employed where possible to prevent this complication. The frequency of VNS-associated vagal nerve compression may warrant further investigation.

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Title: Delayed vagal nerve compressive neuropathy following placement of vagal nerve stimulator: case report
Authors: Hari McGrath
Zach Pennington
Madeline R. Cross
Ernest M. Hoffman
Nicholas M. Gregg
Kendall K. Tasche
Semirra L. Bayan
Jamie J. Van Gompel
Publication date: 01-12-2024
Publisher: Springer Vienna
Keywords: Nerve Stimulation
Epilepsy
Published in: Acta Neurochirurgica / Issue 1/2024
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-024-06087-x

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Springer Medicine

Delayed vagal nerve compressive neuropathy following placement of vagal nerve stimulator: case report

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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