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Long Term Outcomes After Norse: Treatment With Vagus Nerve Stimulation, Poul H. Espino, Jorge G. Burneo, Gaby Moscol, Teneille Gofton, Keith Macdougall, Ana Suller-Marti

Brain and Mind Institute Researchers' Publications

New-onset refractory status epilepticus (NORSE) is associated with high mortality, therapy resistant epilepsy (TRE) and poor cognitive and functional outcomes. Some patients develop multifocal TRE, for whom surgery with a curative intention, is not an option. In these patients, Vagus Nerve Stimulation (VNS) is performed as a palliative treatment. We report the long-term outcomes regarding seizure frequency, functional and cognitive outcome, and effectiveness of VNS in two patients with TRE as a consequence of NORSE. In the first patient with cryptogenic NORSE, VNS implantation occurred during the acute stage, probably contributing to the cessation of her status epilepticus. However, in …