Vagal stimulation by manual carotid sinus massage to acutely suppress seizures |
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| Affiliation: | 1. Department of Neurological Surgery, Division of Neurovascular Surgery, Thomas Jefferson University Hospital, 909 Walnut Street, Clinical Office Building, 3rd Floor, Philadelphia, PA 19107, USA;2. Department of Neurosurgery, University of Iowa, Iowa City, IA, USA;1. St Christopher’s Hospital For Children, Department of Neurology, Philadelphia, PA, USA;2. Temple University, Department of Neurosurgery, 3401 N. Broad Street, Suite C540, Philadelphia, PA 19140, USA;3. Bromedicon, Inc., Yardley, PA, USA;1. Department of Radiation Oncology, The Prince of Wales Cancer Centre, Level 2, High Street, Randwick, NSW 2031, Australia;2. Prince of Wales Clinical School, Faculty of Medicine, University of New South Wales, Randwick, NSW, Australia |
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| 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. |
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| Keywords: | Carotid body Epilepsy Seizure Vagal stimulation Vagus nerve |
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