RT Journal Article SR Electronic T1 Perianaesthetic challenges in patients undergoing vagus nerve stimulation (VNS) placement JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e252692 DO 10.1136/bcr-2022-252692 VO 16 IS 2 A1 Yeap, Tat Boon A1 Ab Mukmin, Laila A1 Ang, Song Yee A1 Ghani, Ab Rahman YR 2023 UL http://casereports.bmj.com/content/16/2/e252692.abstract 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.