Responsive neurostimulation (RNS) as an epilepsy treatment?

Posted by caseybach @caseybach, Sep 9, 2020

I am wondering what experiences people have had with RNS. My son has had seizures since he was 7, has tried several different sezure medications and is currently on Brivacta, Onfi, Oxycarbazepine & has a VNS. Still having 4-6 seizures a month. RNS is our next hope, so if anybody has any personal experiences or info. I would greatly appreciate it. Thank you Casey.

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No Logan still has the VNS & RNS & they are still functioning. He still continues on Onfi, Briviact, X-copri, Lacosamide.
Honestly for about 3 months after his LITT surgery it was very difficult. I really thought we had made the wrong decision. He experienced stroke like symptoms, he was having hallucinations & was sleeping much of the day. However, I think once we started to decrease his meds & the swelling went down. The new & improved Logan showed up!

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Profile picture for absentsenior @absentsenior

@lisalucier I i am so buried in tests that I haven't had much time to think.I have a Cog test next week and after that the ball will roll faster. Surgery is 23Feb26. Frankly, I'm trying not to overthink it. My biggest worry right now is how to keep my head warm. LOL!

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@absentsenior 1 week to go. I'm as prepared as I can be and have a lot of support. I've not really seen any negative feedback on RNS. By this time next week, I'll be on the table.

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Profile picture for absentsenior @absentsenior

@absentsenior 1 week to go. I'm as prepared as I can be and have a lot of support. I've not really seen any negative feedback on RNS. By this time next week, I'll be on the table.

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Hi @absentsenior - so glad you are feeling prepared and have a lot of support. That will get you far.

You mentioned before about the challenge of keeping your head warm. Did you have to do a full head shave? Have you had other pre-procedure things to do or that you will do in the hours before the RNS? Did your doctor anticipate you'd spend a night or two in the hospital?

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Profile picture for Lisa Lucier, Moderator @lisalucier

Hi @absentsenior - so glad you are feeling prepared and have a lot of support. That will get you far.

You mentioned before about the challenge of keeping your head warm. Did you have to do a full head shave? Have you had other pre-procedure things to do or that you will do in the hours before the RNS? Did your doctor anticipate you'd spend a night or two in the hospital?

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@lisalucier Dr. Is anticipating 1 night but that depends on outcome. Do not recommend shaving entire head. I normally have long hair. I'm getting it cut into a short shag before the surgery. The reason is I will have to wash it every day after the first few days and I don't want to have to use a brush. I don't want anything pulling at my scalp due to tangles. The main incision is rather large. Think of the outline of a tupee on top of your head with 2 smaller incisions in the back of your head on both sides. A shag let's me just finger comb it without stressing the incisions.

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@absentsenior
Wishing you the best possible outcome and seizures will be a distant memory.
Jake

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Profile picture for absentsenior @absentsenior

@absentsenior 1 week to go. I'm as prepared as I can be and have a lot of support. I've not really seen any negative feedback on RNS. By this time next week, I'll be on the table.

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Hi @absentsenior 💜
Surgeries always give me butterflies, so I truly admire your calm and positive attitude! It's wonderful to know you feel prepared and well-supported — that really does make all the difference.
What also helps me when facing something like this is my yoga practice and a good massage to release the tension. Gentle exercise, like walking, can also do wonders.
I'll be thinking of you and cheering you on from here - wishing you a smooth procedure and a gentle recovery. Whenever you're ready, I'd love to hear how you're doing!
Chris

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