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Vagus Nerve Stimulation (Epilepsy Pacemaker)

About the Treatment Method

Vagus Nerve Stimulation (VNS), popularly known as the "Epilepsy Pacemaker", is a surgical neuromodulation method applied to patients whose seizures cannot be stopped despite multiple drug use (drug-resistant epilepsy) and sometimes in severe drug-resistant depression cases. A small electrode attached to the "Vagus" nerve passing through the neck is connected to a pacemaker placed under the chest, preventing or reducing the severity of seizures by sending regular electrical signals to the brain.

Controlling Resistant Seizures

The working mechanism of the epilepsy pacemaker and the benefit it provides to the patient.
Does VNS cure epilepsy 100%?

VNS is not a magic device that eradicates epilepsy. Its aim is not to completely eliminate seizures; but to dramatically reduce the frequency and severity of seizures, as well as the patient's dependence on medication (and drug side effects). While it stops seizures completely in some patients, it provides an improvement of 50-70% in others.

Is the surgery performed on the brain?

No. Unlike deep brain stimulation (DBS) surgery, the skull is not opened, and the brain is not touched in VNS application. Only a small battery is placed just below the collarbone, and an electrode (wire) is wrapped around the vagus nerve on the left side of the neck. It is a very low-risk surgery that takes an average of 1 hour.

Can the pacemaker be operated externally when feeling a seizure coming?

Yes. The VNS device already sends continuous signals to the brain at regular intervals. However, the patient is given a special "Magnet (Wristband)" along with the device. When the patient or their relative feels a seizure approaching (aura sensation), they pass this magnet over the pacemaker on their chest, giving the pacemaker an instant shock (extra stimulus) and can instantly prevent that seizure from occurring or ensure it passes very mildly.

The information on this page is for general health advice. Please consult specialized physicians for personalized treatment or advice.


You can find all the information regarding your treatment and hospital stay process in this section.

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