Evidence map›Paper›PMID 39643448›Full record

ArticleBrain and behavior2024

Changes in Response Inhibition, Visual Anticipation and Verbal Fluency During Vagus Nerve Stimulation Therapy in Patients With Drug-Resistant Epilepsy.

Niina Lähde, Pabitra Basnyat, Jani Raitanen, Leena Kämppi, Kai Lehtimäki, Eija Rosti-Otajärvi, Jukka Peltola

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Article in Brain and behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Niina LähdeDepartment of Neurology, Tampere University Hospital, Tampere, Finland.
Pabitra BasnyatFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.ORCID 0000-0002-2239-7681
Jani RaitanenFaculty of Social Sciences, Health Sciences, Tampere University, Tampere, Finland.
Leena KämppiEpilepsia Helsinki, Member of EpiCARE ERN, Department of Neurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Kai LehtimäkiDepartment of Neurosurgery, Tampere University Hospital, Tampere, Finland.
Eija Rosti-OtajärviDepartment of Neurology, Tampere University Hospital, Tampere, Finland.
Jukka PeltolaDepartment of Neurology, Tampere University Hospital, Tampere, Finland.

Funding

LivaNova
6 · The paper itself

Abstract

backgroundThe effect of vagus nerve stimulation (VNS) on cognitive domain of attention and executive functions (AEFs) has not been extensively researched. This study was set up to investigate performance variability on cognitive tests assessing AEFs in drug-resistant epilepsy (DRE) patients receiving VNS therapy during a follow-up of up to 5 years.

methodsThirty-three DRE patients were assessed with the interference, maze, and written verbal fluency tests as a part of EpiTrack screening before and after VNS implantation through repeated follow-ups according to the clinical VNS protocol. A linear mixed-effects model was used to analyse changes in test scores.

resultsMaze performance improved significantly by an average of 0.20 s per month (95% confidence interval (CI): -0.365 to -0.041; p = 0.014). Interference performance improved by an average of 0.05 s per month (p = 0.207) and number of words increased by an average of 0.03 words per month (p = 0.079) on the verbal fluency test. On the maze test, patients with psychiatric comorbidities improved the most (0.52 s/month, p = 0.001), while on the interference test, patients with frontal lobe epilepsy (FLE), those taking 1-2 antiseizure medications (ASMs) and patients with focal to bilateral tonic-clonic seizures improved the most (0.14 s/month, p = 0.005; 0.14 s/month, p = 0.033 and 0.16 s/month, p = 0.087, respectively). For verbal fluency, no clinically meaningful improvement was noted in any of the groups.

conclusionDuring the follow-up, maze performance markedly improved, while performance on the interference and verbal fluency tasks remained relatively stable at the group level. Accordingly, visual anticipation and planning improved during VNS therapy whereas response inhibition was unchanged at the group level despite significant enhancements in patients with FLE and those taking 1-2 ASM. Furthermore, the presence of psychiatric comorbidities correlated with even greater improvement on maze performance.

Indexed as

Drug Resistant EpilepsyExecutive FunctionVagus Nerve StimulationAdolescentAdultAnticipation, PsychologicalAttentionFemaleFollow-Up StudiesHumansInhibition, PsychologicalMaleMiddle AgedNeuropsychological TestsVerbal BehaviorYoung Adultattention and executive functionscognitiondrug‐resistant epilepsyvagus nerve stimulation

Identifiers

PMID39643448
PMCPMC11624008

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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.