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1 st 2nd Evaluation for

Monotherapy Polytherapy Refractory


Monotherapy
AED Trial AED Trial Epilepsy
AED Trial

Epilepsy Epilepsy
Surgery Surgery Not
Appropriate Appropriate

Proceed VNS Therapy

Not Seizure Free Targeted Seizure Targeted


Seizure Free Type Not Seizure Type
Substantially Substantially
Re-evaluate For Improved Improved
VNS Therapy or
Further Epilepsy Re-evaluate for Continue with
Surgery Epilepsy Surgery VNS Therapy

Wheless JW. Neurostimulation Therapy for Epilepsy. In: Wheless JW, Willmore LJ,
Brumback RA, eds. Advanced Therapy in Epilepsy. Hamilton, Ontario: BC Decker, Inc.

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