VNS Therapy Reduces Epilepsy Seizures

VAGUS
NERVE
STIMULATOR
(VNS)
MONICA SACCO PCP MRS. RISTER A2 7/20/2013
Sunday, July 21, 13

MAY
2001
HERE’S A LITTLE STORY....
Sunday, July 21, 13

SOMEWHERE
IN NYC, AN 18
YEAR OLD
GIRL LIVED
WITH
EPILEPSY....
STARTED OFF
NORMALLY. BUT
THAT CHANGED....
http://www.(lickr.com/photos/73014677@N05/6658825183/sizes/l/in/photostream/
Sunday, July 21, 13

“THE SHOWER
INCIDENT”...
Sunday, July 21, 13

SEIZURE
IN THE
SHOWER
http://www.(lickr.com/photos/pocketpcian/388562958
Sunday, July 21, 13

2ND & 3RD DEGREE BURNS....
...SURGERY
NEEDED...
...FEW WEEKS HOSPITAL RECOVERY
BECAUSE OF
“SHOWER
INCIDENT”
Sunday, July 21, 13

WHO’S THAT
GIRL?
Sunday, July 21, 13

WHAT TO DO
NOW?
Sunday, July 21, 13

TIME TO
START VNS
TREATMENT!!
AP Images: http://classic.apimages.com/fronts/Default.aspx?sh=14
Sunday, July 21, 13

WHAT IS VNS
ANYWAYS?..
Sunday, July 21, 13

VNS
• VAGUS NERVE
STIMULATOR
• TO HELP TREAT
EPILEPSY
• DOES WORK TO
CONTROL SEIZURES
Sunday, July 21, 13

NOT FULL CURE FOR
EPILEPSY BUT IS OPTION TO
HELP TREAT IT....
...IT’S AN ADDED-ON TREATMENT TO GO ALONG
WITH CURRENT MEDICATIONS
Sunday, July 21, 13

THE THING
ABOUT
EPILEPSY IS...
Sunday, July 21, 13

EPILEPSY
(CAN HAPPEN TO YOU!)
• 4TH MOST COMMON
NEUROLOGICAL
DISORDER
• MIGRANES, STROKE, &
ALZHEIMER'S’ DISEASE
• ALMOST 3 MILLION
AMERICANS (2.5
MILLION) HAVE IT

http://www.(lickr.com/photos/zmtomako/3866365905/sizes/l/in/photostream/
Sunday, July 21, 13

ANYONE CAN
HAVE EPILEPSY...
Sunday, July 21, 13

• ANTREL ROLLE
(FORMER NFL PLAYER)
...EVEN THE RICH AND FAMOUS....
• LIL’ WAYNE (RAPPER)
Sunday, July 21, 13

THE VNS WAY
Sunday, July 21, 13

VNS HELPS CONTROL
SEIZURES
(FREQUENCY & SEVERITY)
Sunday, July 21, 13

• INITIALLY 4x/PER MONTH (average)
• IN SUBWAY, SUBWAY PLATFORMS, &
BED MAINLY
• SINCE VNS: ABOUT 2X/PER MONTH
(average) THEN EVEN MORE SPORADIC.
WHERE IT BEGAN...
http://www.flickr.com/photos/siwc/6260682715/sizes/z/in/photostream/
Sunday, July 21, 13

MARCH 2013
• 3 BIG
SEIZURES
IN 1 DAY
• 1 WEEK
AFTER:
SEIZURE IN
KITCHEN
• DISCOVERY:
VNS
BATTERY
DIED.
http://www.(lickr.com/photos/25638762@N00/5472293329/in/photolist-‐9kyW9Z-‐5y5WVW-‐iWzfr-‐
etvkf-‐6XE35o-‐5foeoZ-‐5foeqD-‐6Cp1MP-‐6Cp8He-‐5foes2-‐vH9LP-‐oCXZX-‐n5ToB-‐6gZyQe-‐2QKMGx-‐5heXX7-‐24sjNB-‐87ZyF-‐87ZyJ-‐486hj1-‐6ULmfq
Sunday, July 21, 13

• 1/3 OF PATIENTS WITH VNS HAD REDUCTION
OF 50%
• ALSO REDUCTION IN SEVERITY OF SEIZURES
http://www.(lickr.com/photos/juhansonin/7699595932/
Sunday, July 21, 13

IS OUT-PATIENT
SURGERY
*NOT MAJOR PROCEDURE*
Sunday, July 21, 13

IN- AND-OUT ON SAME DAY
• PROCEDURE ABOUT 1-2 HOURS
• WAS IN EARLY IN MORNING, & GOT HOME
AROUND 5PM
• RECOVERY FOR TIMELY MATTER IN
HOSPITAL NOT NEEDED SO NOT AS COSTLY
• JUST NEED FEW HOURS TO SLEEP &
SOMEONE TO BRING YOU HOME.
Sunday, July 21, 13

WHAT ARE SOME
EPILEPSY TREATMENTS
AVAILABLE?
• MEDICATIONS
• BRAIN SURGERY
• VNS (VAGUS NERVE STIMULATOR)
http://www.(lickr.com/photos/30027503@N08/3754203686/in/
photolist-‐6HKgXL-‐6Fusd7-‐6jteeA-‐6gxFmM-‐61UFUj-‐6CDTva-‐6EGzeS-‐8WGcDB-‐9LKSPz
Sunday, July 21, 13

• MEDICATIONS: 1/3 GET POINT THEY
DON’T WORK WELL OR SOMETIMES
AT ALL
• BRAIN SURGERY: TO REMOVE
SMALL PART OF BRAIN THAT
STARTS THE SEIZURES.
• NOT ALL ARE ELIGIBLE FOR BRAIN
SURGERY OPTION.
SOME ISSUES OF CONCERN...
Sunday, July 21, 13

VNS IS NOT AN
EXTREMELY LARGE OR
INVASIVE DEVICE
Sunday, July 21, 13

• SIZE OF SILVER DOLLAR
• VNS COVERED BY MANY HEALTH
INSURANCES
• WIRE GOES FROM DEVICE TO ELECTRODE
ATTACHED ON VAGUS NERVE
• DEVICE ALWAYS PULSATES - TREATMENT
BEING GIVEN CONSISTENTLY & DAILY
Sunday, July 21, 13

• PATIENT GETS MAGNET
AFTER PROCEDURE.
• MAGNET PURPOSE: T0
HELP 3RD PARTY
CONTROL/STOP
SEIZURES.
• MAGNET SET UP LIKE
WRISTBAND
http://www.(lickr.com/photos/65737797@N00/4847453271/in/photolist-‐8omsYx
Sunday, July 21, 13

EFFECTS OF EPILEPSY
• 50 MILLION WORLDWIDE
• ALMOST 3 MILLION
AMERICANS
• PORTION OF PEOPLE
AREN’T GETTING
ADEQUATE SEIZURE
CONTROL
http://www.flickr.com/photos/44124401641@N01/833182621/in/photolist-2gChaB
Sunday, July 21, 13

GET OUT THERE & LEARN AS MUCH AS
POSSIBLE....
ABOUT EPILEPSY, THE VNS.....
JUST SPREAD THE
WORD!
Sunday, July 21, 13

REFERENCES
1.AP Photo/Dave Zalubowski. (2013). Ap images - epilepsy search results. FSO AP Images
Collection (EBSCOHost). Retrieved from http://classic.apimages.com/fronts/Default.aspx?
sh=14
2.AP Photo/Dave J. Philip. (2004). Ap images - epilepsy search results. FSO AP Images
sh=14
3.AP Photo/Dave J. Philip. (2004). Ap images - epilepsy search results. FSO AP Images
sh=14
4.AP Photo/Dave Martin. (2013). Ap images - lil wayne epilepsy search result . FSO AP Images
sh=14
5.AP Photo/Dave Zalubowski. (2013). Ap images - epilepsy search results. FSO AP Images
sh=14
6.istolethetv. (Photographer). (2007, July 15). flickr.com - bridal veil falls [Web Photo].
Retrieved from http://www.flickr.com/photos/44124401641@N01/833182621/in/
photolist-2gChaB
Sunday, July 21, 13

REFERENCES (cont.)
7.J.G., N. (Photographer). (2010, July 29). flickr.com - VNS Wristband [Web Photo].
photolist-8omsYx
8.Jess. (Photographer). (2011, February 23). flickr.com - Epileptic by David B. cover
[Web Photo]. Retrieved from http://www.flickr.com/photos/25638762@N00/5472293329/
in/photolist-9kyW9Z-5y5WVW-iWzfr-
etvkf-6XE35o-5foeoZ-5foeqD-6Cp1MP-6Cp8He-5foes2-vH9LP-oCXZX-
n5ToB-6gZyQe-2QKMGx-5heXX7-24sjNB-87ZyF-87ZyJ-486hj1-6ULmfq
9.Sonin, J. (Photographer). (2012, August 2). flickr.com - Doctor & patient drawing [Web
Photo]. Retrieved from http://www.flickr.com/photos/juhansonin/7699595932/
10.Nodalo, K. (Photographer). (2009, July 25). flickr.com - Just like a pill.. [Web Photo].
photolist-6HKgXL-6Fusd7-6jteeA-6gxFmM-61UFUj-6CDTva-6EGzeS-8WGcDB-9LKSPz
Sunday, July 21, 13

VNS Therapy Reduces Epilepsy Seizures

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VNS Therapy Reduces Epilepsy Seizures