| J.L. Corning and vagal nerve stimulation for seizures in the 1880s. | |
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MedLine Citation:
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PMID: 11839848 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Beginning in the late 18th century, facial flushing and bounding carotid artery pulses during seizures were seen as evidence that seizures resulted from "venous hyperaemia" of the CNS. Consequently, physicians used digital compression of the carotid artery, and later carotid ligation, to abort seizures. In the early 1880s, New York neurologist James Leonard Corning (1855--1923) developed several instruments for carotid artery compression in the treatment of seizures. These devices included a two-pronged, fork-like instrument (the "carotid fork") for temporary compression as an abortive treatment and an adjustable belt-like instrument to encircle the neck (the "carotid truss") for chronic compression as a prophylactic treatment. Corning's uncontrolled observations suggested that the abortive treatment decreased the duration of seizures and that the prophylactic treatment decreased the frequency of seizures. Corning later combined instrumented carotid artery compression with other devices to decrease cerebral blood flow, including transcutaneous electrical vagal nerve and cervical sympathetic stimulation. Observed side effects of treatment included bradycardia, dizziness, and syncope. Corning's use of instrumented carotid compression and his precocious application of transcutaneous electrical vagal nerve stimulation were not widely adopted by neurologists, and these techniques and devices ultimately were abandoned in the late 19th century. |
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Authors:
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Douglas J Lanska |
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Publication Detail:
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Type: Biography; Historical Article; Journal Article; Portraits |
Journal Detail:
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Title: Neurology Volume: 58 ISSN: 0028-3878 ISO Abbreviation: Neurology Publication Date: 2002 Feb |
Date Detail:
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Created Date: 2002-03-06 Completed Date: 2002-03-28 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 0401060 Medline TA: Neurology Country: United States |
Other Details:
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Languages: eng Pagination: 452-9 Citation Subset: AIM; IM |
Affiliation:
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Veterans Affairs Medical Center, Great Lakes VA Healthcare System, 500 East Veterans Street, Tomah, WI 54660, USA. Douglas.Lanska@med.va.gov |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Electric Stimulation Therapy
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history*,
instrumentation Epilepsy / history*, therapy History, 19th Century Humans New York United States Vagus Nerve |
| Personal Name Subject | |
Personal Name Subject:
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James Leonard Corning |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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