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Safety and Management of Implanted Epilepsy Devices for Imaging and Surgery
Affiliation:1. Department of Neurology, Mayo Clinic, Rochester, MN;2. Department of Neurologic Surgery, Mayo Clinic, Rochester, MN;3. Department of Radiology, Mayo Clinic, Rochester, MN;4. Department of Radiology, Mayo Clinic, Jacksonville, FL;5. Department of Neurology, Mayo Clinic, Jacksonville, FL;6. Department of Neurologic Surgery, Mayo Clinic, Jacksonville, FL;7. Department of Neurology, Mayo Clinic, Scottsdale, AZ;1. Division of Endocrinology, Diabetes, and Metabolism, Mayo Clinic, Rochester, MN, USA;2. Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA;3. Department of Pathology and Laboratory Medicine, University of Wisconsin, Madison, WI, USA;4. Department of Pathology and Laboratory Medicine, University of Cincinnati, Cincinnati, OH, USA;1. Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN;2. Department of Urology, Mayo Clinic, Rochester, MN;3. Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN;4. Biomarker Discovery Program, Center of Individualized Medicine, Mayo Clinic, Rochester, MN;5. Division of Nephrology and Hypertension, and Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN;6. Department of Pathology, University of Michigan Medical School, Ann Arbor, MI;7. Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY;1. Resident in Internal Medicine, Mayo Clinic School of Graduate Medical Education, Rochester, MN;2. Advisor to resident and Consultant in Community Internal Medicine, Mayo Clinic, Rochester, MN
Abstract:
Permanently implanted devices that deliver electrical stimulation are increasingly used to treat patients with drug-resistant epilepsy. Primary care physicians, neurologists, and epilepsy clinicians may encounter patients with a variety of implanted neuromodulation devices in the course of clinical care. Due to the rapidly changing landscape of available epilepsy-related neurostimulators, there may be uncertainty related to how these devices should be handled during imaging procedures and perioperative care. We review the safety and management of epilepsy-related implanted neurostimulators that may be encountered during imaging and surgery. We provide a summary of approved device labeling and recommendations for the practical management of these devices to help guide clinicians as they care for patients treated with bioelectronic medicine.
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