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Vagus Nerve Stimulation (VNS) in Spain

Hospitals and medical centers in Spain performing Vagus Nerve Stimulation.
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Vithas Xanit International Hospital

At Vithas Xanit International Hospital, we tackle the area of Neurosciences across all disciplines to cover all fields.

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Hospital Quirónsalud Malaga

With more than 36 medical specialties, 200 physicians and surgeons of the highest level, Quironsalud Hospital Malaga is one of the most pertinent hospitals in Spain.

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Hospital Universitario HM Montepríncipe

The Department of Neurology has neurologists that specialize in diagnostic testing that employs electrophysiology and neuropathology.

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Vagus Nerve Stimulation

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Hospital Clínic Costa Brava

Hospital Clínic Costa Brava is a modern medical facility with over 250 medical specialists, offering medical, surgical, aesthetic, cosmetic and rehabilitation treatments in the relaxing tourism town of Palamos, Costa Brava.

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Vagus Nerve Stimulation

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Hospital Quirónsalud Torrevieja

Quironsalud Hospital Torrevieja is an ISO-certified private hospital located in the north of Torrevieja, championing excellence in cancer treatment and management. IMTJ Best International Hospital of the world (awards 2017)

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Hospital Quirónsalud Marbella

This international hospital incorporates prestigious doctors, invests in research and development, technology and continuing education that enhances skills, in facilities, and in an increased operational efficiency in order to provide nothing but the best

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Hospital Quirónsalud Valencia

Hospital Quirónsalud Valencia is ranked as one of the best private schools in Spain, winning nine times in the TOP 20 award in recognition of its management and quality of care.

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Hospital Ruber Internacional

The faculty has expertise in all of the major subspecialty areas in Neurology, including multiple sclerosis, stroke, Alzheimer's disease, vascular cognitive impairment, epilepsy, movement disorders and others.

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Vagus Nerve Stimulation

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Quirónsalud Madrid University Hospital

An ISO certified modern private hospital, which was opened in 2006, and is part of the Quironsalud Hospital Group. This tertiary care hospital has certified medical specialties capable of treating the most complicated medical cases.

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Vagus Nerve Stimulation

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Hospital Quirónsalud Barcelona

Quirónsalud Hospital Barcelona is the benchmark for private healthcare in southern Europe, providing world-class service for the past seventy years.

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Vagus Nerve Stimulation

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Neurology centers in Spain (Page 1 of 2)

About Vagus Nerve Stimulation

This information is intended for general information only and should not be considered as medical advice on the part of Health-Tourism.com. Any decision on medical treatments, after-care or recovery should be done solely upon proper consultation and advice of a qualified physician.

What is Vagus Nerve Stimulation?
Vagus nerve stimulation is a method of epilepsy treatment. It requires a surgical procedure in which a device like a pacemaker is implanted in the body, which generates electric pulses to stimulate the vagus nerve. Vagus nerve stimulation is done to decrease the severity, length, and number of seizures in a patient. In some cases, the frequency of the seizures is also reduced. However, it does not affect some patients and it cannot completely cure epilepsy.

Vagus nerve stimulation is used along with antiepileptic mediation. Its effect is experienced only after a long period of time.

How Does a Vagus Nerve Stimulator Work?
The vagus nerve stimulator is a computer programmed device. It is implanted under the patient’s skin below the left collar bone. This is connected to the vagus nerve in the left part of the neck. After 4 weeks from the implantation, the stimulator is switched on. It is programmed by the doctor with the help of a portable hand-held computer. The doctor sets the stimulator to give the required amount of stimulation, which varies for different patients. It is usually initiated at a low level and then enhanced to the required level for an individual patient. The common setting of the stimulator is 30 seconds of stimulation per 5 minutes. The stimulator is battery operated and has a validity of maximum 10 years. When the battery life diminishes, the stimulator should be replaced.

The vagus nerve stimulator can be used to provide extra stimulation before or during a seizure. This is done by moving a special magnet over the stimulator that can stop a seizure from occurring, or reduce a seizure that is already occurring. The magnet can be carried by the patient at all times by wearing it on the belt or around the wrist.

How is a Vagus Nerve Stimulation Surgery Performed?
An incision is made on the left side of the patient’s chest, below the collar bone. The stimulator device is implanted in this area under the skin. The implanted stimulator is a round device that usually measures about 1.5 inches (4cm) in diameter, and 10 to 13 mm in thickness. New models of this device may be smaller. A horizontal incision is then made in the lower neck and the wire from the stimulator is coiled around the vagus nerve that lies in the left side of the neck. Stimulation is only provided on the left vagus nerve, as the right vagus nerves helps to control heartbeat. A small bulge may appear on the skin after the stimulator has been implanted.

What are the Necessary Preparations for the Surgery?

  • Many tests may be performed on the patient to find out the focal point of the seizures. These tests include
    • Neuroimaging
    • Psychological tests that determine the patient’s cognitive potentials and weaknesses
  • The patient will be explained in detail about vagus nerve stimulation.

Duration of procedure/surgery : Approximately 2 hours

Days admitted : Vagus nerve stimulation is done either as an inpatient or an outpatient procedure. As an inpatient, the patient will stay overnight in the hospital.

Anesthesia : General anesthesia

Recovery : - Pain medication may be provided by the doctor if required. - Vagus nerve stimulation is usually successful in reducing 50% of the seizures. - The settings of the stimulator are adjustable and follow-up visits may be scheduled to adjust it to the accurate settings. - The patient will be taught how to use the magnet to increase stimulation temporarily. - When the battery of the vagus nerve stimulator runs out after many years, the implant will be replaced in an outpatient procedure.

Risks : The risks of the surgery include: - Injury to the surrounding blood vessels, e.g. carotid artery and jugular vein - Infection - Bleeding - Allergy to anesthesia The side effects associated with vagus nerve stimulation are mild and temporary. They include: - Hoarseness - Coughing - Discomfort in the throat - Swallowing difficulty - Tingling sensation in the neck - Headache - Ear pain The settings of the stimulator may be adjusted by the doctor if the side effects persist.

After care : - Patients who have vagus nerve stimulation implants should avoid powerful magnets that may affect the settings of the stimulator. - If patients are required to do Magnetic Resonance Imaging (MRI), they must inform about their vagus nerve stimulation implant. If the doctor allows the MRI to be performed on patients with stimulator implants, the stimulator needs to be switched off prior to the scan. - Patients should avoid areas which have warning sign posts for pacemakers. - The doctor’s instructions on safety precautions should be followed carefully.

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