Abstract
Carotid sinus massage, a technique involving digital pressure on the richly innervated
carotid sinus, is a time-honoured method for termination of supraventricular tachycardia
due to paroxysmal atrial tachycardia. Vagal nerve stimulation, a more recent technique,
employs pacemaker stimulation of the vagus as a treatment for refractory epilepsy.
This case report discusses the use of carotid sinus massage to abort seizure activity.
The patient used manual manipulation of the carotid sinus (similar to cardiology techniques)
to suppress seizures, achieving a therapeutic neurological outcome.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Clinical NeuroscienceAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Vagal-nerve stimulation for epilepsy.Lancet. 2001; 357: 1726-1727
- Vagal nerve stimulation: relationship between outcome and electroclinical seizure pattern.Seizure. 2006; 15: 198-207
- Vagus nerve stimulation for epilepsy: a meta-analysis of efficacy and predictors of response.J Neurosurg. 2011; 115: 1248-1255
- Neurostimulation for the treatment of epilepsy: a review of current surgical interventions.Neuromodulation. 2013; 16: 10-24
- Vagal nerve stimulation: a review of its applications and potential mechanisms that mediate its clinical effects.Neurosci Biobehav Rev. 2005; 29: 493-500
- Vagus nerve stimulation for epilepsy: a review of central mechanisms.Surg Neurol Int. 2012; 3: S255-S259
- Role of neuronal nicotinic receptors in the transmission and processing of information in neurons of the central nervous system.Pharmacol Biochem Behav. 2001; 70: 457-466
- The role of norepinephrine in epilepsy: from the bench to the bedside.Neurosci Biobehav Rev. 2004; 28: 507-524
- Seizure suppression by systemic epinephrine is mediated by the vagus nerve.Epilepsy Res. 2000; 38: 171-175
- Corning and vagal nerve stimulation for seizures in the 1880s.Neurology. 2002; 58: 452-459
- Use of ocular compression to induce vagal stimulation and aid in controlling seizures in seven dogs.J Am Vet Med Assoc. 1999; 214: 663-665
Article info
Publication history
Accepted:
March 18,
2013
Received:
January 13,
2008
Identification
Copyright
© 2013 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.