What is involved prior to vagal nerve stimulation?
• Initial assessment All children and families require a referral from their neurologist or paediatrician to the Children’s Epilepsy Program (CEP) for assessment of suitability. Elements of the child’s seizure history, treatment, behaviour and past medical problems need to be reviewed. Alternative treatments are also discussed. • Education Families must be fully informed about VNS before embarking on this form of treatment. The paediatric neurologist and the epilepsy nurse specialist discuss at length the broad aims of VNS, how VNS works, the surgical procedure, post operative care, advantages and disadvantages, continuing medication, the admission process, ongoing management at home and precautions. Additional information is available in the form of video, written material and formal “one on one” discussions. The Epilepsy Nurse Specialist provides ongoing support and reinforcement of education sessions. Families will meet with the neurosurgeon prior to intended surgery.
