Estimulación vagal en pediatría: ¿cuándo y para quién?
DOI:
https://doi.org/10.59156/revista.v0i0.686Palabras clave:
Convulsiones, Epilepsia refractaria, Estimulador vagal, NeuromodulaciónResumen
Introducción: a pesar de la efectividad de los tratamientos farmacológicos para la epilepsia, un 30% de los pacientes no consigue un control adecuado de sus crisis. Diversas opciones quirúrgicas ablativas como la lobectomía simple o múltiple, lesionectomías, hemisferotomías funcionales, las callosotomías y las desconexiones uni, bi o trilobares están disponibles. El implante del estimulador del nervio vago (ENV) constituye una alternativa quirúrgica de modulación neuronal para el control de las crisis.
Objetivo: evaluar las principales opciones de neuromodulación en el tratamiento quirúrgico de la epilepsia en la población infantil.
Materiales y métodos: efectuamos una revisión de las principales recomendaciones para el abordaje quirúrgico de esta patología y los fundamentos de la indicación de ENV.
Resultados: nuestro enfoque coincide con las pautas establecidas a nivel global.
Conclusión: los pacientes epilépticos en edad pediátrica que no responden a la medicación deben ser evaluados ampliamente en cuanto a características de las crisis, niveles sanguíneos de medicación e imágenes ya que podrían beneficiarse con el implante de un estimulador vagal.
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