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Vagus stimulator

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https://www.readbyqxmd.com/read/29231763/non-invasive-vagus-nerve-stimulation-for-the-acute-treatment-of-episodic-and-chronic-cluster-headache-a-randomized-double-blind-sham-controlled-act2-study
#1
Peter J Goadsby, Ilse F de Coo, Nicholas Silver, Alok Tyagi, Fayyaz Ahmed, Charly Gaul, Rigmor H Jensen, Hans-Christoph Diener, Kasia Solbach, Andreas Straube, Eric Liebler, Juana Ca Marin, Michel D Ferrari
Background Clinical observations and results from recent studies support the use of non-invasive vagus nerve stimulation (nVNS) for treating cluster headache (CH) attacks. This study compared nVNS with a sham device for acute treatment in patients with episodic or chronic CH (eCH, cCH). Methods After completing a 1-week run-in period, subjects were randomly assigned (1:1) to receive nVNS or sham therapy during a 2-week double-blind period. The primary efficacy endpoint was the proportion of all treated attacks that achieved pain-free status within 15 minutes after treatment initiation, without rescue treatment...
January 1, 2017: Cephalalgia: An International Journal of Headache
https://www.readbyqxmd.com/read/29231433/-transcutaneous-vagus-nerve-stimulation-for-primary-insomnia-and-affective-disorder-a-report-of-35-cases
#2
Man Luo, Xiaoxiao Qu, Shaoyuan Li, Jingjun Zhao, Yufeng Zhao, Yue Jiao, Peijing Rong
OBJECTIVE: To observe and evaluate the clinical efficacy of transcutaneous vagus nerve stimulation (taVNS) at auricular concha for primary insomnia (PI) and affective disorder. METHODS: A total of 35 patients who met the diagnosis standard of PI in Diagnostic and statistical manual of mental disorders (5th edition) were included. The self-developed auricular vagus nerve stimulator (TENS-200A) was applied at auricular concha, 30 min per treatment, twice a day, 5 days a week for consecutive 4 weeks...
March 12, 2017: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/29230011/pairing-sound-with-vagus-nerve-stimulation-modulates-cortical-synchrony-and-phase-coherence-in-tinnitus-an-exploratory-retrospective-study
#3
Sven Vanneste, Jeffrey Martin, Robert L Rennaker, Michael P Kilgard
Recent research has shown that vagus nerve stimulation (VNS) paired with tones or with rehabilitative training can help patients to achieve reductions in tinnitus perception or to expedite motor rehabilitation after suffering an ischemic stroke. The rationale behind this treatment is that VNS paired with experience can drive neural plasticity in a controlled and therapeutic direction. Since previous studies observed that gamma activity in the auditory cortex is correlated with tinnitus loudness, we assessed resting-state source-localized EEG before and after one to three months of VNS-tone pairing in chronic tinnitus patients...
December 11, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29219123/chronic-cuffing-of-cervical-vagus-nerve-inhibits-efferent-fiber-integrity-in-rat-model
#4
Jesse Paul Somann, Gabriel Albors, Kaitlyn Neihouser, Kun-Han Lu, Zhongming Liu, Matthew Peter Ward, Abigail Durkes, J Paul Robinson, Terry Powley, Pedro Irazoqui
Numerous studies of vagal nerve stimulation (VNS) have been published showing it to be a potential treatment for chronic inflammation and other related diseases and disorders. Studies in recent years have shown that electrical stimulation of the vagal efferent fibers can artificially modulate cytokine levels and reduce systematic inflammation. Most VNS research in the treatment of inflammation have been acute studies on rodent subjects. Our study tested VNS on freely moving animals by stimulating and recording from the cervical vagus with nerve cuff electrodes over an extended period of time...
December 8, 2017: Journal of Neural Engineering
https://www.readbyqxmd.com/read/29205954/mechanisms-underpinning-sympathetic-nervous-activity-and-its-modulation-using-transcutaneous-vagus-nerve-stimulation
#5
Susan A Deuchars, Varinder K Lall, Jennifer Clancy, Mohd Mahadi, Aaron Murray, Lucy Peers, Jim Deuchars
What is the topic of this review? This review briefly considers what modulates sympathetic nerve activity and how it may change as we age or in pathological conditions. It then focuses on transcutaneous vagus nerve stimulation, a method of neuromodulation in autonomic cardiovascular control. What advances does it highlight? The review considers the pathways involved in eliciting the changes in autonomic balance seen with transcutaneous vagus nerve stimulation in relationship to other neuromodulatory techniques...
November 11, 2017: Experimental Physiology
https://www.readbyqxmd.com/read/29201963/valsalva-maneuver-using-a-handmade-device-in-supraventricular-tachycardia-reversion-a-quasi-experimental-study
#6
Maryam Motamedi, Mohammad Ali Akbarzadeh, Saeed Safari, Mehrnoosh Shahhoseini
Introduction: The use of vagal nerve stimulation is identified as a proper treatment option in patients with stable supraventricular tachycardia (SVT). This study aimed to assess the success of Valsalva maneuver via a handmade device in reversion of SVT. Methods: In this quasi experimental study, using a handmade device, vagus nerve stimulation was performed for SVT patients presenting to emergency department or cardiac intervention unit and the success rate and its related factors were assessed...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/29201608/toward-bioelectronic-medicine-neuromodulation-of-small-peripheral-nerves-using-flexible-neural-clip
#7
Sanghoon Lee, Wendy Yen Xian Peh, Jiahui Wang, Fengyuan Yang, John S Ho, Nitish V Thakor, Shih-Cheng Yen, Chengkuo Lee
Neural modulation technology and the capability to affect organ function have spawned the new field of bioelectronic medicine. Therapeutic interventions depend on wireless bioelectronic neural interfaces that can conformally and easily attach to small (few hundred micrometers) nerves located deep in the body without neural damage. Besides size, factors like flexibility and compliance to attach and adapt to visceral nerves associated moving organs are of paramount importance and have not been previously addressed...
November 2017: Advanced Science (Weinheim, Baden-Wurttemberg, Germany)
https://www.readbyqxmd.com/read/29197546/prevalence-of-arnold-s-nerve-reflex-in-adults-and-children-with-chronic-cough
#8
Peter V Dicpinigaitis, Ahmad Kantar, Oladunni Enilari, Francesco Paravati
BACKGROUND: Cough originates from stimulation of structures innervated by the vagus nerve, including the airways and distal esophagus. Arnold's nerve reflex describes the induction of cough by stimulation of the external auditory canal, which is innervated by the auricular branch of the vagus. Historically, the prevalence of this reflex has been reported in the range of 2-3%, based on studies of outpatients in otolaryngology practices, but has not been investigated in healthy volunteers or in patients with chronic cough...
November 29, 2017: Chest
https://www.readbyqxmd.com/read/29184482/identification-of-candidate-allosteric-modulators-of-the-m1-muscarinic-acetylcholine-receptor-which-may-improve-vagus-nerve-stimulation-in-chronic-tinnitus
#9
Tijana Bojić, Vladimir R Perović, Milan Senćanski, Sanja Glišić
Chronic tinnitus is characterized by neuroplastic changes of the auditory cortex. A promising method for therapy of chronic tinnitus is vagus nerve stimulation (VNS) combined with auditory stimulation. The principle of VNS is reversal of pathological neuroplastic changes of the auditory cortex toward physiological neural activity and synchronicity. The VNS mechanism of action in chronic tinnitus patients is prevailingly through the muscarinic neuromodulation of the auditory cortex by the activation of nc. basalis Meynerti...
2017: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/29184345/vagus-nerve-stimulation-modulates-complexity-of-heart-rate-variability-differently-during-sleep-and-wakefulness
#10
Karthi Balasubramanian, K Harikumar, Nithin Nagaraj, Sandipan Pati
Progressive loss of heart rate variability (HRV) and complexity are associated with increased risk of mortality in patients with cardiovascular disease and are a candidate marker for patients at risk of sudden cardiac death. HRV is influenced by the cardiac autonomic nervous system (ANS), although it is unclear which arm of the ANS (sympathetic or parasympathetic) needs to be perturbed to increase the complexity of HRV. In this case-control study, we have analyzed the relation between modulation of vagus nerve stimulation (VNS) and changes in complexity of HRV as a function of states of vigilance...
October 2017: Annals of Indian Academy of Neurology
https://www.readbyqxmd.com/read/29180192/reduced-serum-cholinesterase-activity-indicates-splenic-modulation-of-the-sterile-inflammation
#11
Aleksandar R Zivkovic, Kevin M Tourelle, Thorsten Brenner, Markus A Weigand, Stefan Hofer, Karsten Schmidt
BACKGROUND: Sterile inflammation is an immediate and well-coordinated immune response to surgical injury. The cholinergic system plays a pivotal role in the inflammatory response. Induced inflammation stimulates the vagus nerve, which in turn activates anti-inflammatory nonneuronal processes. Serum cholinesterase (butyrylcholinesterase [BChE]) is an enzyme that hydrolyzes acetylcholine. Measuring the activity of the BChE in blood might indicate the level of the nonneuronal cholinergic activity...
December 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/29179237/older-age-and-longer-epilepsy-duration-do-not-predict-worse-seizure-reduction-outcome-after-vagus-nerve-stimulation
#12
Jan Chrastina, Jitka Kocvarova, Zdenek Novak, Irena Dolezalova, Michal Svoboda, Milan Brazdil
No abstract text is available yet for this article.
November 27, 2017: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/29174302/the-interaction-of-pulse-width-and-current-intensity-on-the-extent-of-cortical-plasticity-evoked-by-vagus-nerve-stimulation
#13
Kristofer W Loerwald, Michael S Borland, Robert L Rennaker, Seth A Hays, Michael P Kilgard
BACKGROUND: Repeatedly pairing a tone with a brief burst of vagus nerve stimulation (VNS) results in a reorganization of primary auditory cortex (A1). The plasticity-enhancing and memory-enhancing effects of VNS follow an inverted-U response to stimulation intensity, in which moderate intensity currents yield greater effects than low or high intensity currents. It is not known how other stimulation parameters effect the plasticity-enhancing effects of VNS. OBJECTIVE: We sought to investigate the effect of pulse-width and intensity on VNS efficacy...
November 15, 2017: Brain Stimulation
https://www.readbyqxmd.com/read/29172909/health-care-utilization-following-vagus-nerve-stimulation-therapy-in-pediatric-epilepsy-patients-from-a-pediatric-accountable-care-organization
#14
Anup Patel, Ling Wang, Satyanarayana Gedela
BACKGROUND: Vagus nerve stimulation has been a therapy for epilepsy approved by the US Food and Drug Administration (FDA) for patients 4 and older and shown efficacy and safety in younger pediatric patients. METHODS: The authors performed a retrospective analysis utilizing Medicaid claims from an accountable care organization to measure the intervention of vagus nerve stimulation therapy in regard to unplanned health care utilization. Thirteen unique patients were included who had vagus nerve stimulation therapy who had at least 6 months of continuous enrollment in a managed Medicaid health plan...
January 1, 2017: Journal of Child Neurology
https://www.readbyqxmd.com/read/29167641/%C3%AE-7-nicotinic-agonist-ar-r17779-protects-mice-against-2-4-6-trinitrobenzene-sulfonic-acid-induced-colitis-in-a-spleen-dependent-way
#15
Andrea Grandi, Irene Zini, Lisa Flammini, Anna M Cantoni, Valentina Vivo, Vigilio Ballabeni, Elisabetta Barocelli, Simona Bertoni
The existence of a cholinergic anti-inflammatory pathway negatively modulating the inflammatory and immune responses in various clinical conditions and experimental models has long been postulated. In particular, the protective involvement of the vagus nerve and of nicotinic Ach receptors (nAChRs) has been proposed in intestinal inflammation and repeatedly investigated in DSS- and TNBS-induced colitis. However, the role of α7 nAChRs stimulation is still controversial and the potential contribution of α4β2 nAChRs has never been explored in this experimental condition...
2017: Frontiers in Pharmacology
https://www.readbyqxmd.com/read/29163522/the-vagus-nerve-in-the-neuro-immune-axis-implications-in-the-pathology-of-the-gastrointestinal-tract
#16
REVIEW
Bruno Bonaz, Valérie Sinniger, Sonia Pellissier
The vagus nerve (VN) is the longest nerve of the organism and a major component of the parasympathetic nervous system which constitutes the autonomic nervous system (ANS), with the sympathetic nervous system. There is classically an equilibrium between the sympathetic and parasympathetic nervous systems which is responsible for the maintenance of homeostasis. An imbalance of the ANS is observed in various pathologic conditions. The VN, a mixed nerve with 4/5 afferent and 1/5 efferent fibers, is a key component of the neuro-immune and brain-gut axes through a bidirectional communication between the brain and the gastrointestinal (GI) tract...
2017: Frontiers in Immunology
https://www.readbyqxmd.com/read/29162502/vagus-nerve-magnetic-modulation-facilitates-dysphagia-recovery-in-patients-with-stroke-involving-the-brainstem-a-proof-of-concept-study
#17
Wang-Sheng Lin, Chen-Liang Chou, Miao-Hsiang Chang, Yuh-Mei Chung, Fu-Gong Lin, Po-Yi Tsai
BACKGROUND & AIMS: Stroke involving the brainstem (SBS) causes severe oropharyngeal dysphagia (OD). Research on the therapeutic efficacy of vagus nerve modulation (VNM) by using repetitive transcranial magnetic stimulation (rTMS) in SBS patients with OD has been limited thus far. We aimed to assess the effect of VNM by using rTMS in improving swallowing function after SBS. METHOD: We conducted a sham-controlled, double-blinded, parallel pilot study in 28 SBS patients with OD randomly allocated to a real rTMS group (n = 13; TMSreal) or a sham group (n = 15; TMSsham)...
November 7, 2017: Brain Stimulation
https://www.readbyqxmd.com/read/29159066/six-adult-patients-with-septo-optic-dysplasia-and-drug-resistant-epilepsy-clinical-findings-and-course
#18
Mashael AlKhateeb, Richard McLachlan, Jorge Burneo, David Diosy, Seyed Mirsattari
Septo-optic dysplasia (SOD) is a rare disorder associated with optic nerve hypoplasia, pituitary abnormalities and agenesis/dysgenesis of midline brain structures including the septum pellucidum and corpus callosum. Though sometimes associated with drug-resistant epilepsy, this association has not been well studied. We report six SOD patients with associated malformation of cortical development (MCD) and drug-resistant epilepsy who underwent video-EEG telemetry at our centre between 1998 and 2016 for drug-resistant epilepsy...
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/29144720/cost-effectiveness-of-gammacore-non-invasive-vagus-nerve-stimulation-for-acute-treatment-of-episodic-cluster-headache
#19
Mkaya Mwamburi, Eric J Liebler, Andrew T Tenaglia
Cluster headache is a debilitating disease characterized by excruciatingly painful attacks that affects 0.15% to 0.4% of the US population. Episodic cluster headache manifests as circadian and circannual seasonal bouts of attacks, each lasting 15 to 180 minutes, with periods of remission. In chronic cluster headache, the attacks occur throughout the year with no periods of remission. While existing treatments are effective for some patients, many patients continue to suffer. There are only 2 FDA-approved medications for episodic cluster headache in the United States, while others, such as high-flow oxygen, are used off-label...
November 2017: American Journal of Managed Care
https://www.readbyqxmd.com/read/29144718/the-emerging-role-of-gammacore%C3%A2-in-the-management-of-cluster-headache-expert-panel-recommendations
#20
Stephen D Silberstein, Anne H Calhoun, Christina Treppendahl, David W Dodick, Alan M Rapoport, Avinash Mamidi, Peter Vargas, Thomas H Ebert, Stewart J Tepper
A panel of 9 experts, including neurologists, other headache specialists, and medical and pharmacy directors, from 4 health plans (1 integrated delivery network and 3 plans with commercial, Medicare, and Medicaid lines of business), convened to discuss cluster headache (CH). Topics covered included the current treatment landscape, treatment challenges, economic impact of disease, and gaps in care for patients with CH. One major challenge in the management of CH is that it is underrecognized and frequently misdiagnosed, leading to delays in and suboptimal treatment for patients who suffer from this painful and disabling condition...
November 2017: American Journal of Managed Care
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