• Mayo Clinic proceedings · Nov 2022

    Review

    Safety and Management of Implanted Epilepsy Devices for Imaging and Surgery.

    • Brian N Lundstrom, Chen Lin, D Keith Starnes, Erik H Middlebrooks, William Tatum, Sanjeet S Grewal, Amy Z Crepeau, Nicholas M Gregg, Kai J Miller, Jamie J Van Gompel, and Robert E Watson.
    • Department of Neurology, Mayo Clinic, Rochester, MN. Electronic address: Lundstrom.brian@mayo.edu.
    • Mayo Clin. Proc. 2022 Nov 1; 97 (11): 212321382123-2138.

    AbstractPermanently implanted devices that deliver electrical stimulation are increasingly used to treat patients with drug-resistant epilepsy. Primary care physicians, neurologists, and epilepsy clinicians may encounter patients with a variety of implanted neuromodulation devices in the course of clinical care. Due to the rapidly changing landscape of available epilepsy-related neurostimulators, there may be uncertainty related to how these devices should be handled during imaging procedures and perioperative care. We review the safety and management of epilepsy-related implanted neurostimulators that may be encountered during imaging and surgery. We provide a summary of approved device labeling and recommendations for the practical management of these devices to help guide clinicians as they care for patients treated with bioelectronic medicine.Copyright © 2022 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

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