PT - JOURNAL ARTICLE AU - Tat Boon Yeap AU - Laila Ab Mukmin AU - Song Yee Ang AU - Ab Rahman Ghani TI - Perianaesthetic challenges in patients undergoing vagus nerve stimulation (VNS) placement AID - 10.1136/bcr-2022-252692 DP - 2023 Feb 01 TA - BMJ Case Reports PG - e252692 VI - 16 IP - 2 4099 - http://casereports.bmj.com/content/16/2/e252692.short 4100 - http://casereports.bmj.com/content/16/2/e252692.full SO - BMJ Case Reports2023 Feb 01; 16 AB - Patients with medically refractory epilepsy (MRE) are indicated for vagus nerve stimulation (VNS) placement. Anaesthesia for VNS placement is extremely challenging and requires several considerations. We present a man in his 20s with MRE who successfully underwent VNS placement. We review the mechanism of action of VNS, anaesthetic challenges and measures to prevent seizures.