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Vagus Nerve Stimulation (VNS)

Vagus nerve stimulation (VNS) is a treatment that uses a small implanted device to send gentle electrical signals through the vagus nerve to help reduce seizures.

  • Epilepsy & Seizures Program

    We have decades of experience caring for patients with Epilepsy, pioneering minimally invasive treatments and leading research for new treatments to improve patient outcomes.

What Is Vagus Nerve Stimulation (VNS)?

Vagus nerve stimulation (VNS) is a treatment that uses a small device placed under the skin in the chest. The device is connected to a wire that stimulates the vagus nerve in the neck. The vagus nerve carries signals between the brain and the body.

VNS is most often used for people with epilepsy whose seizures are not well controlled with medicine alone. It does not usually cure epilepsy, but it may help reduce how often seizures happen and, for some people, how severe they are.

What Is Vagus Nerve Stimulation (VNS)?

Why Choose Baptist Health?

At Baptist Health Brain & Spine Care, patients benefit from coordinated care focused on complex neurological conditions, including epilepsy and seizures. Care planning may involve physicians from different specialties who work together to understand symptoms, review testing and recommend treatment options based on each patient’s needs.

For patients considering VNS, experts at Baptist Health can help guide next steps, from diagnosis and medication review to discussion of device-based treatment options. When appropriate, patients may also need evaluation for related care such as drug-resistant epilepsy or anti-seizure medication management.

Why Choose Baptist Health?

How It Works

VNS delivers mild electrical pulses to the vagus nerve at regular intervals. These signals then travel to areas of the brain involved in seizure activity. The device is programmed by a physician and can be adjusted over time based on symptom control and side effects.

Some VNS systems also allow a patient or caregiver to use a magnet to send an extra stimulation when a seizure warning sign happens. Whether this feature is recommended depends on the device and the patient’s care plan.

Who May Benefit

VNS may be considered for people with epilepsy whose seizures continue despite anti-seizure medicines. It may also be discussed when seizures are affecting safety, independence, school, work, sleep or quality of life.

A full evaluation is needed to decide whether VNS is an appropriate option. Not every person with seizures is a candidate, and other treatments may be recommended first.

Benefits and Risks

Potential Benefits

Potential benefits may include:

  • Fewer seizures
  • Shorter or less severe seizures
  • A treatment option that does not involve brain surgery
  • Adjustable settings that can be changed over time
Potential Risks

Potential risks may include:

  • Pain, bruising or infection at the implant site
  • Hoarseness, throat discomfort, cough or voice changes during stimulation
  • Tingling, shortness of breath or trouble swallowing
  • Device-related issues that may require follow-up care

Your physician will explain expected benefits and risks based on your health history and treatment goals.

What to Expect

  • Before VNS placement, patients usually have a neurological evaluation and a review of seizure history, medicines and prior testing. This may include brain imaging, electroencephalogram (EEG) results or other studies already completed. Your care team will also review your overall health and whether surgery is appropriate.

  • VNS placement is a procedure to implant the device under the skin of the chest and connect it to the vagus nerve through a small incision in the neck. The procedure is often done under general anesthesia, although the exact approach depends on the patient and care plan. The device is usually turned on after surgery and then programmed over time.

  • After treatment, patients return for follow-up visits so the device settings can be adjusted. It may take time to find the settings that work best. Most patients continue anti-seizure medicines unless their physician recommends changes. You should call your care team if you notice worsening symptoms, side effects or signs of infection.

Recovery

Recovery varies by patient and by the details of the procedure. Mild soreness in the chest or neck can happen at first. Your care team will explain activity instructions, incision care, follow-up timing and when to seek medical attention. Specific recovery expectations should be confirmed with the treating physician.

Meet Our Clinical Leaders

Our Locations

Our Epilepsy & Seizures program connects patients with expert care at Baptist Health Kenneth C. Griffin Neuroscience Institute and Marcus Neuroscience Institute.

Frequently Asked Questions

  • VNS is most commonly used to help manage certain seizure disorders, especially when seizures are not fully controlled with medication alone. A physician will determine whether it fits your diagnosis and treatment history.

  • No. VNS is not usually considered a cure. It is a treatment that may help reduce seizure frequency or severity for some patients, but results vary from person to person.

  • People with seizures that continue despite medication may be evaluated for VNS. Candidacy depends on seizure type, prior treatment response, overall health and whether other options may be more appropriate.

  • No. VNS involves placing a device in the chest and connecting it to the vagus nerve in the neck. It does not require surgery on the brain.

  • Many patients still take anti-seizure medication after VNS placement. Over time, a physician may review whether treatment changes are appropriate, but medication decisions are individualized.

  • Some people notice hoarseness, throat discomfort, coughing or voice changes when the device stimulates the nerve. Surgical risks, such as infection or discomfort at the implant site, are also possible.

  • Improvement may not happen right away. The device is typically adjusted during follow-up visits, and benefits may become clearer over time as settings are refined.

  • Yes. The device settings can usually be changed during follow-up visits. This helps the care team tailor treatment to seizure control and side effects.

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