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The treatment of refractory epilepsy by vagus nerve stimulation (VNS) is a well-established therapy. Complications following VNS insertion may be procedure-related or stimulation-related. Herein, we describe our technique of intra-operative neuro-monitoring (IONM) in an attempt to diminish these adverse events. This retrospective study describes 66 consecutive patients between the ages of 3 and 12years who had undergone primary VNS implantation. The study population consisted of two cohorts, one in which the VNS device was implanted accor
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