PEDIATRICS Vol. 103 No. 4 April 1999, pp. 821-822
COMMENTARY:
Vagal Nerve Stimulation in Epileptic Encephalopathies
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Previous assessment of vagal nerve stimulation in the treatment of refractory epilepsy has been mostly in adults. Available results of this method in children are difficult to interpret because of various methodologic problems, especially the selection of implanted patients.
The article in this issue by Parker et al1 and its addendum report encouraging results in a limited series of children with severe epilepsy of early onset fulfilling the criteria for epileptic encephalopathies also known as catastrophic epilepsies.
Although the efficacy of vagal nerve stimulation appeared initially
modest, such results




