Perianaesthetic challenges in patients undergoing vagus nerve stimulation (VNS) placement.
Tat Boon YeapLaila Ab MukminSong Yee AngAb Rahman GhaniPublished in: BMJ case reports (2023)
Patients with medically refractory epilepsy (MRE) are indicated for vagus nerve stimulation (VNS) placement. Anaesthesia for VNS placement is extremely challenging and requires several considerations. We present a man in his 20s with MRE who successfully underwent VNS placement. We review the mechanism of action of VNS, anaesthetic challenges and measures to prevent seizures.