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Real members of MyEpilepsyTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
January 25
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A MyEpilepsyTeam Member

I can. Relate with you. The VNS didn’t work for me neither. After the DBS was approved by the FDA in the U.S. , my Dr. and I agreed to do that. 2022 go for the DBS . It’s been working well. My seizures have decreased by a lot since.

January 26
A MyEpilepsyTeam Member

I got my rns in 2016. It took a long time to start working. Surgery Was at UPMC by dr Richardson before he was a professor at Harvard for epilepsy. Kind of a tester as it wasnt meant to stop grand mals. But it has. I used to have 4or5 a month. Every month in the ICU. It took years for me to notice a difference. My last grand mals were 3 after my first battery change in 2020. I have noticed all the other effects now. I know when I'm having focal aware seizures. It's stops them in there tracks. Most of the time. But I'm glad I did it after telling myself and drs for months no surgeries. I would still wake up in ICU afterwards but just rip out the breathing tubes and leave. Like nothing happened.

January 28
A MyEpilepsyTeam Member

My VNS never helped so I later got an RNS. I’ve continued to have some seizures after 7 years though

January 25
MyEpilepsyTeam

What are the experiences with RNS for drug-resistant seizures when VNS hasn't worked?

It sounds like you're exploring RNS after your VNS hasn't provided the relief you need. Many people in similar situations have found RNS helpful, though it's important to know what to expect.

How RNS works differently:

RNS is designed Show Full Answer

What are the experiences with RNS for drug-resistant seizures when VNS hasn't worked?

It sounds like you're exploring RNS after your VNS hasn't provided the relief you need. Many people in similar situations have found RNS helpful, though it's important to know what to expect.

How RNS works differently:

RNS is designed specifically for people with focal seizures who haven't responded to medications or other treatments. Unlike VNS which stimulates on a schedule, RNS detects abnormal brain activity in real-time and delivers targeted stimulation only when a seizure is about to occur.

What the research shows:

- After 2 years of RNS therapy, seizures were reduced by half on average
- After 7 years, two-thirds of people experienced at least a 50% reduction in seizures
- One study showed RNS decreased seizures by 75% after 9 years
- Benefits improve the longer you use it

Important considerations:

RNS requires surgery where the device is implanted within the skull, with wires connected to the brain surface where your seizure focal point has been identified. Recovery is generally quicker than traditional resection surgery since it only requires a small hole in the skull.

Most people continue taking their seizure medications during RNS treatment, though some may eventually reduce their medication regimen if the therapy is successful.

January 25

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