Effects of Stable Vagus Nerve Stimulation Efficacy on Autistic Behaviors in Ten Pediatric Patients With Drug Resistant Epilepsy: An Observational Study

作者：Zhiyan Wang, Xing Yuan, Qian Zhang, Jialun Wen, Tung-Yang Cheng, Xiaoya Qin, Taoyun Ji, Xiaomei Shu, Yuwu Jiang, Jianxiang Liao, Hongwei Hao, Luming Li, Ye Wu · 发表于：Frontiers in Pediatrics · 年份：2022 · DOI：10.3389/fped.2022.846301 · 被引用次数：14 · 研究领域：Vagus Nerve Stimulation Research、EEG and Brain-Computer Interfaces、Heart Rate Variability and Autonomic Control

Vagus nerve stimulation (VNS) is a safe and effective therapy for pediatric patients with drug-resistant epilepsy (DRE). However, in children with DRE, the effects of VNS on autistic behaviors remain controversial. We retrospectively collected data from 10 children with DRE who underwent VNS implantation and regular parameter regulation in three pediatric epilepsy centers, and completed the behavioral assessments, including the autistic behavior checklist and the child behavior checklist, at follow-ups 1 (mean 2.16 years) and 2 (mean 2.98 years). The 10 children maintained stable seizure control between the two follow-ups. Their autistic behaviors, especially in language, social and self-help, were reduced at follow-up 2 compared to follow-up 1 ( p = 0.01, p = 0.01, respectively). Moreover, these improvements were not associated with their seizure control, whether it was positive or negative. These results suggested that the VNS had a positive effect on autistic behaviors, which provided a preliminary clinical basis that VNS may benefit to younger children with DRE comorbidity autism spectrum disorder (ASD).