<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1665-5044</journal-id>
<journal-title><![CDATA[Revista mexicana de neurociencia]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. neurocienc.]]></abbrev-journal-title>
<issn>1665-5044</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Neurología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1665-50442025000200003</article-id>
<article-id pub-id-type="doi">10.24875/rmn.24000037</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[The effectiveness of vagus nerve stimulation in rheumatoid arthritis: a systematic review]]></article-title>
<article-title xml:lang="es"><![CDATA[La eficacia de la estimulación del nervio vago en artritis reumatoide: una revisión sistemática]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Deca]]></surname>
<given-names><![CDATA[Débora K. de Araújo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amaral]]></surname>
<given-names><![CDATA[Victor Barros-Maciel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernandes]]></surname>
<given-names><![CDATA[João V. Andrade]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Neto]]></surname>
<given-names><![CDATA[Olavo B. Oliveira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[André de Sá Braga]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Federal University of Paraiba Department of Morphology ]]></institution>
<addr-line><![CDATA[João Pessoa ]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Federal University of Alagoas Department of Anatomy ]]></institution>
<addr-line><![CDATA[Maceió ]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<volume>26</volume>
<numero>2</numero>
<fpage>49</fpage>
<lpage>57</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1665-50442025000200003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1665-50442025000200003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1665-50442025000200003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: This review aims to assess the effectiveness of vagus nerve stimulation (VNS) in relieving RA symptoms.  Methods: A systematic review was performed in seven databases to identify randomized clinical trials that investigated the use of VNS on the symptom improvement of adults with RA. The review adhered to PRISMA guidelines and assessed bias risk using the RoB 2.0 Tool.  Results: A total of 1131 documents were identified, but only four were included. It was found no significant difference between active and sham stimulation in ACR20 response rates at week 12 (25.0% vs. 26.9%, p = 0.823), with similar results for Disease Activity Score 28 with C-reactive protein (DAS28-CRP) and HAQ-DI. However, high-disease activity participants showed significant reductions in DAS28-CRP, CRP levels, and interferon-y with non-invasive VNS (n-VNS), whereas low-disease activity participants did not benefit and experienced a decrease in cardiac vagal tone and interleukin-10 levels. Overall, n-VNS was well tolerated. VNS with a small neurostimulator was safe and effective in alleviating RA symptoms in drug-resistant patients. Two patients experienced significant improvements in various measures between the screening visit and day 42, but after device deactivation, they experienced worsened DAS28 and VAS pain scores.  Conclusions: VNS was well-tolerated and yielded favorable results, indicating its potential as a viable treatment option. Its efficacy in treatment-resistant RA patients offers promising prospects.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Esta revisión tiene como objetivo evaluar la eficacia de la estimulación del nervio vago (ENV) para aliviar los síntomas de la AR.  Métodos: Se realizó una revisión sistemática en siete bases de datos para identificar ensayos clínicos aleatorizados. que investigaran el uso de la ENV en la mejora de los síntomas de los adultos con AR. La revisión se adhirió a las pautas PRISMA y evaluó el riesgo de sesgo utilizando la herramienta RoB 2.0.  Resultados: Se identificaron un total de 1131 documentos, pero solo se incluyeron 4. No se encontró ninguna diferencia significativa entre la estimulación activa y simulada en las tasas de respuesta ACR20 en la semana 12 (25,0% frente a 26,9%, p = 0,823), con resultados similares para DAS28-CRP y HAQ-DI. Sin embargo, los participantes con alta actividad de la enfermedad mostraron reducciones significativas en DAS28-CRP, niveles de CRP e interferón-y con estimulación no invasiva del nervio vago (n-VNS), mientras que los participantes con baja actividad de la enfermedad no se beneficiaron y experimentaron una disminución en el tono vagal cardíaco y los niveles de interleucina-10. En general, la n-VNS fue bien tolerada. La VNS con un pequeño neuroestimulador fue segura y efectiva para aliviar los síntomas de AR en pacientes resistentes a los medicamentos. Dos pacientes experimentaron mejoras significativas en varias medidas entre la visita de selección y el día 42, pero después de la desactivación del dispositivo, experimentaron un empeoramiento de las puntuaciones de dolor DAS28 y VAS.  Conclusiones: La VNS fue bien tolerada y arrojó resultados favorables, lo que indica su potencial como una opción de tratamiento viable. Su eficacia en pacientes con AR resistente al tratamiento ofrece perspectivas prometedoras.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Rheumatoid arthritis]]></kwd>
<kwd lng="en"><![CDATA[Vagus nerve stimulation]]></kwd>
<kwd lng="en"><![CDATA[Treatment outcome]]></kwd>
<kwd lng="es"><![CDATA[Artritis reumatoide]]></kwd>
<kwd lng="es"><![CDATA[Estimulación del nervio vago]]></kwd>
<kwd lng="es"><![CDATA[Resultado del tratamiento]]></kwd>
</kwd-group>
</article-meta>
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