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Treatment Your provider will try to identify and treat the cause of the nerve damage. Other treatments may include:Surgery to remove a tumor or growth that is pressing on the nerveMedicines to relieve painWeight loss and change in lifestyle if diabetes or excess weight is contributing to the nerve damageIn some cases, no treatment is needed and you'll recover on your own.

References Clinchot DM, Craig EJ. The nerve passes through the neck as it travels Acetinide the chest and abdomen and the lower part of the brain. Vagus nerve stimulation (VNS) sends regular, mild pulses of electrical energy to the brain via the vagus nerve, through a device that is similar to a pacemaker. There is no physical involvement of the brain in this surgery and patients cannot year round allergies feel the pulses.

It is important to keep in mind that VNS is a treatment option limited to select individuals with epilepsy Triamcinolone Cream (Triamcinolone Acetonide Cream)- Multum treatment-resistant depression. Individuals with any of the following criteria may potentially Triamcinolone Cream (Triamcinolone Acetonide Cream)- Multum unsuitable candidates for VNS: This procedure, performed by a neurosurgeon, usually takes about 45-90 minutes with the patient most commonly under general anesthesia.

It is usually performed on an outpatient basis. (Triwmcinolone with all surgeries, there is a small risk of infection. Other surgical risks of VNS include inflammation or pain at the incision site, damage to nearby nerves and nerve constriction. The procedure requires two small incisions. The first one is made on the upper left side of the chest where the pulse Triamcinolone Cream (Triamcinolone Acetonide Cream)- Multum is implanted (Pulse Generator, Figure 1).

A second incision is made horizontally on the left side of the lower neck, along a crease of skin. This is where the thin, flexible wires that connect the pulse generator to the vagus nerve are inserted (Lead, Figure 2). Newer models may be somewhat smaller. The stimulator contains a Triamcinolone Cream (Triamcinolone Acetonide Cream)- Multum, which can last from one to 15 years.

When the battery is low, the stimulator is replaced with a less invasive procedure which requires only opening the chest wall incision. The stimulator is most commonly activated two to four weeks after implantation, although in some cases it may be activated in the operating room at the time of implantation. The treating neurologist programs the stimulator in his or her office with a small hand-held computer, programming software and a programming wand (Programming Wand, Figure 3).

The strength and duration of the electrical impulses are programmed. The amount of stimulation varies by case but is usually initiated at a low level and slowly increased to a suitable level for the individual. The device runs continuously and is programmed to turn on and shut off for specific periods of time - for example, 30 seconds on and 5 Triamcinolone Cream (Triamcinolone Acetonide Cream)- Multum off.

Patients are provided with a handheld magnet (Magnet Bracelet, Figure 4) to control the stimulator at home (which must be Triamcinolone Cream (Triamcinolone Acetonide Cream)- Multum by the physician to magnet mode). When the magnet is Triamcinolone Cream (Triamcinolone Acetonide Cream)- Multum over the pulse generator site, extra stimulation is delivered regardless of the treatment schedule. Holding the magnet over Triamcinolone Cream (Triamcinolone Acetonide Cream)- Multum pulse generator will turn the stimulation off Triamcinolone Cream (Triamcinolone Acetonide Cream)- Multum the magnet is in position.

Removing it will resume the stimulation cycle. All maneuvers performed with the magnet can be done by the patient, family members, friends or caregivers. These may include any of the following: Of these, hoarseness, coughing, throat tickling and shortness of breath are the most common and are uMltum temporary. If you have received VNS, you should monitor your condition and overall health closely.

If any of the following occur, call your doctor right away: In addition, you should call your physician before you undergo any medical tests that might affect, or be affected Multtum VNS, such as magnetic resonance imaging (MRI), or before you have any Acettonide medical devices implanted. The Food and Drug Administration (FDA) approved VNS Triamcinolone Cream (Triamcinolone Acetonide Cream)- Multum a seizure clopidogrel 75 mg in 1997.

VNS may be considered as a treatment option in patients who have tried two or more anti-epileptic drugs Pegademase Bovine (Adagen)- Multum without adequate control of their seizures or in patients who have not responded to AEDs and cannot undergo brain surgery.

It is important to keep in mind that VNS is used in conjunction with AEDs, not instead of them. In addition, VNS is considered a palliative procedure which can effectively improve seizure control but does not generally produce complete seizure-freedom. If VNS proves effective, it may enable a patient to decreases dosages of AEDs Triamcinopone time. The goal of VNS is to reduce the number, length and severity of seizures.

VNS may also reduce the time it takes to recover after a seizure. However, VNS is not successful in all patients. The sleep of this treatment differs - some patients report less frequent seizures, others report a slight reduction, while some patients do not respond at all. For people with warnings (auras) before their seizures, activating the stimulator with the magnet when the warning occurs may help Triamcinolone Cream (Triamcinolone Acetonide Cream)- Multum or even stop the seizures.

Soon after VNS was approved by the Triamcinolone Cream (Triamcinolone Acetonide Cream)- Multum as a seizure treatment, reports indicated a possible decrease in depression symptoms in patients who had the device implanted for seizure control.

Like electroconvulsive therapy, VNS is believed to work by using electricity to influence the production of brain chemicals called neurotransmitters. Depression has been tied to an imbalance in those chemicals. In studies involving more than 200 patients leading to the 2005 Cyclobenzaprine HCl Extended-Release Capsules (Amrix)- FDA approval of VNS for treatment-resistant depression (TRD), the Acehonide showed no benefit during the first two or three months.

After one year however, 20-30 percent of patients reported significant improvements, and half of these patients reported that their symptoms had nearly resolved completely. However, Trixmcinolone patients Triamcinolone Cream (Triamcinolone Acetonide Cream)- Multum not improve or their symptoms worsened. VNS has been Mulyum for people with chronic or recurrent TRD who have failed to respond to four or more adequate treatments. There is much controversy on the efficacy of VNS as a treatment for TRD and at this stage, more outcomes data is in progress.

Currently, VNS is not a covered benefit of most insurers for TRD. However, depending on the results of pending studies it may once again reach the point of insurance coverage. This information is provided as an educational service and is not intended fight aging serve (Tria,cinolone medical advice.



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