Evidence map›Paper›PMID 32524324›Full record

SynthesisNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2020

Antidepressant effect of vagal nerve stimulation in epilepsy patients: a systematic review.

Giovanni Assenza, Mario Tombini, Jacopo Lanzone, Lorenzo Ricci, Vincenzo Di Lazzaro, Sara Casciato, Alessandra Morano, Anna Teresa Giallonardo, Carlo Di Bonaventura, Ettore Beghi and 28 more

Registry-linked trialOpen access · greenAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07610655 (Effects of Transcutaneous Vagal Nerve Stimulation on Post-Surgical Return to Consciousness, Delirium, and Depression), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07610655 narecruitingnot on this mapstarted 2026, after this paper: background citation

Effects of Transcutaneous Vagal Nerve Stimulation on Post-Surgical Return to Consciousness, Delirium, and Depression

TypeinterventionalSponsorNorthwestern UniversityRan2026 to 2029Enrolled40ConditionsPost Operative Delirium, Cognitive Impairment, Vagus Nerve Stimulation, DepressionArmsTranscutaneous vagal nerve stimulation, Sham (No Treatment)
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Different modalities of invasive neurostimulation for epilepsy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Review
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

38 authors at 19 institutions in 2 countries.

Giovanni AssenzaNeurology, Neurophysiology and Neurobiology Unit, Department of Medicine, Università Campus Bio-Medico di Roma, Rome, Italy.
Mario TombiniNeurology, Neurophysiology and Neurobiology Unit, Department of Medicine, Università Campus Bio-Medico di Roma, Rome, Italy.
Jacopo LanzoneNeurology, Neurophysiology and Neurobiology Unit, Department of Medicine, Università Campus Bio-Medico di Roma, Rome, Italy.
Lorenzo RicciNeurology, Neurophysiology and Neurobiology Unit, Department of Medicine, Università Campus Bio-Medico di Roma, Rome, Italy.
Vincenzo Di LazzaroNeurology, Neurophysiology and Neurobiology Unit, Department of Medicine, Università Campus Bio-Medico di Roma, Rome, Italy.
Sara CasciatoEpilepsy Surgery Center, IRCCS NEUROMED, Via Atinense 18, 86170, Pozzilli (IS), Italy.
Alessandra MoranoEpilepsy Unit, Department of Human Neurosciences, "Sapienza" University of Rome, Rome, Italy.
Anna Teresa GiallonardoEpilepsy Unit, Department of Human Neurosciences, "Sapienza" University of Rome, Rome, Italy.
Carlo Di BonaventuraEpilepsy Unit, Department of Human Neurosciences, "Sapienza" University of Rome, Rome, Italy.
Ettore BeghiLaboratory of Neurological Disorders, Department of Neuroscience, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Edoardo FerlazzoDepartment of Medical and Surgical Sciences, Magna Graecia University, Catanzaro, Italy; Regional Epilepsy Centre, Great Metropolitan Hospital Bianchi-Melacrino-Morelli, Reggio Calabria, Italy.
Sara GaspariniDepartment of Medical and Surgical Sciences, Magna Graecia University, Catanzaro, Italy; Regional Epilepsy Centre, Great Metropolitan Hospital Bianchi-Melacrino-Morelli, Reggio Calabria, Italy.
Loretta GiulianoDepartment G.F. Ingrassia, Section of Neurosciences, University of Catania, Catania, Italy.
Francesco PisaniDepartment of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
Paolo BennaDepartment of Neurosciences, University of Torino, Torino, Italy.
Francesca BisulliIRCCS Institute of Neurological Sciences of Bologna, Bologna, Italy.
Fabrizio A De FalcoNeurology Unit, Ospedale del Mare, Via Enrico Russo, Naples, Italy.
Silvana FranceschettiDepartment of Neurophysiopathology, Fondazione Istituto Neurologico Carlo Besta, Milan, Italy.
Angela La NeveDepartment of Neurological and Psychiatric Sciences, Centre for Epilepsy, University of Bari, Bari, Italy.
Stefano MelettiNeurology Unit, OCB Hospital, AOU Modena, Modena, Italy; Department of Biomedical, Metabolic, and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Barbara MostacciIRCCS Institute of Neurological Sciences of Bologna, Bologna, Italy.
Ferdinando SartucciSection of Neurophysiopathology, Department of Clinical and Experimental Medicine, University of Pisa, Azienda Ospedaliero Universitaria Pisana and Neuroscience Institute, CNR, Pisa, Italy.
Pasquale StrianoDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, and Maternal and Child Health, University of Genoa, Genoa, Italy.
Flavio VillaniDivision of Clinical Neurophysiology and Epilepsy Center, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Umberto AgugliaDepartment of Medical and Surgical Sciences, Magna Graecia University, Catanzaro, Italy; Regional Epilepsy Centre, Great Metropolitan Hospital Bianchi-Melacrino-Morelli, Reggio Calabria, Italy.
Giuliano AvanziniDepartment of Neurophysiopathology, Fondazione Istituto Neurologico Carlo Besta, Milan, Italy.
Vincenzo BelcastroChild Neuropsychiatry Unit, Department of Mental Health, ASST-Lariana, Como, Italy.
Amedeo BianchiDivision of Neurology, Hospital San Donato Arezzo, Arezzo, Italy.
Vittoria CianciDepartment of Medical and Surgical Sciences, Magna Graecia University, Catanzaro, Italy; Regional Epilepsy Centre, Great Metropolitan Hospital Bianchi-Melacrino-Morelli, Reggio Calabria, Italy.
Angelo LabateInstitute of Neurology, University Magna Graecia, Germaneto (CZ), Italy.
Adriana MagauddaDepartment of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
Roberto MichelucciIRCCS Institute of Neurological Sciences of Bologna, Bologna, Italy.
Annapia VerriDepartment of Behavioural Neurology and Laboratory of Cognitive Behavioural Psychology, Fondazione Istituto Neurologico Casimiro Mondino, Pavia, Italy.
Gaetano ZaccaraRegional Health Agency of Tuscany, Florence, Italy.
Vincenzo PizzaNeurophysiopatology Unit, S. Luca Hospital, Vallo della Lucania (SA), Italy.
Paolo TinuperIRCCS Institute of Neurological Sciences of Bologna, Bologna, Italy.
Giancarlo Di GennaroEpilepsy Surgery Center, IRCCS NEUROMED, Via Atinense 18, 86170, Pozzilli (IS), Italy. gdigennaro@neuromed.it.ORCID https://orcid.org/0000-0003-3446-0788
Epilepsy Study Group of the Italian Neurological Society
Magna Graecia University · ITUniversità Campus Bio-Medico · ITInstitute of Neurological Sciences · ITSapienza University of Rome · ITFondazione IRCCS Istituto Neurologico Carlo Besta · ITIstituto Neurologico Mediterraneo · ITUniversity of Messina · ITAgenzia Regionale di Sanità della Toscana · ITAzienda Socio Sanitaria Territoriale Lariana · ITFondazione Istituto Neurologico Nazionale Casimiro Mondino · ITIstituto Giannina Gaslini · ITMario Negri Institute for Pharmacological Research · ITOspedale Policlinico San Martino · ITOspedale San Donato · ITUniversity of Bari Aldo Moro · ITUniversity of Catania · ITUniversity of Modena and Reggio Emilia · ITUniversity of Pisa · ITUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVagal nerve stimulation (VNS) is an effective palliative therapy in drug-resistant epileptic patients and is also approved as a therapy for treatment-resistant depression. Depression is a frequent comorbidity in epilepsy and it affects the quality of life of patients more than the seizure frequency itself. The aim of this systematic review is to analyze the available literature about the VNS effect on depressive symptoms in epileptic patients. MATERIAL AND

methodsA comprehensive search of PubMed, Medline, Scopus, and Google Scholar was performed, and results were included up to January 2020. All studies concerning depressive symptom assessment in epileptic patients treated with VNS were included.

resultsNine studies were included because they fulfilled inclusion criteria. Six out of nine papers reported a positive effect of VNS on depressive symptoms. Eight out of nine studies did not find any correlation between seizure reduction and depressive symptom amelioration, as induced by VNS. Clinical scales for depression, drug regimens, and age of patients were broadly different among the examined studies.

conclusionsReviewed studies strongly suggest that VNS ameliorates depressive symptoms in drug-resistant epileptic patients and that the VNS effect on depression is uncorrelated to seizure response. However, more rigorous studies addressing this issue are encouraged.

Indexed as

EpilepsyVagus Nerve StimulationAntidepressive AgentsHumansQuality of LifeTreatment OutcomeAntidepressive AgentsDepressionDrug-resistant epilepsyEpilepsySystematic reviewVagal nerve stimulation

Identifiers

PMID32524324
OpenAlexW3033914938

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.