Chemosensory function in patients with vagal nerve stimulators

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Annette Kirchner - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Basile N. Landis - , TUD Dresden University of Technology (Author)
  • Matthias Haslbeck - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Herrmann Stefan - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Bertold Renner - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Thomas Hummel - , Department of Otorhinolaryngology, Head and Neck Surgery (Author)

Abstract

Chemosensory function is determined by the interplay of numerous sensory modalities. The present study aimed to evaluate the possible influence of electrical stimulation of the left-sided vagal nerve on gustatory and olfactory function in patients with vagal nerve stimulation (VNS). Gustation and olfaction were tested using psychophysical techniques; olfactory function was additionally evaluated using event-related potentials. A total of 11 subjects participated (six men and five women, aged 21 to 56 years). The vagal stimulator was run in "rapid cycle mode" in 10 patients, whereas one patient was treated with "normal mode" VNS. Subjects participated in two sessions, with the vagal stimulator switched on and off, respectively. The sequence of the two sessions was randomized across all participants. Using air-dilution, olfactometry event-related potentials to the specific olfactory stimulant H2S were recorded. Psychophysical tests were performed using the "Sniffin' Sticks" test kit, a test for retronasal olfactory function, and a gustatory test based on impregnated filter paper. The study yielded the following major results: (1) VNS produced a prolongation of P2 latencies of olfactory ERP, and (2) patients with therapeutic benefit from VNS in terms of seizure control had larger amplitudes during the on period than during the off period. In conclusion, using electrophysiological measures of olfactory function, the present study indicated a significant role of VNS in the processing of olfactory information.

Details

Original languageEnglish
Pages (from-to)418-425
Number of pages8
JournalJournal of Clinical Neurophysiology
Volume21
Issue number6
Publication statusPublished - 2004
Peer-reviewedYes

External IDs

Scopus 11344257804
PubMed 15622128
ORCID /0000-0003-0845-6793/work/141550850
ORCID /0000-0001-9713-0183/work/146645726

Keywords

Keywords

  • Epilepsy, Olfaction, Taste, Vagal nerve stimulation