TY - JOUR
T1 - Vagus Nerve Stimulator-Associated Sleep Disordered Breathing
T2 - Identification, Treatment, and Outcomes in a Pediatric Patient
AU - Carosella, Christopher M.
AU - Smith, David F.
AU - Sarber, Kathleen M.
AU - Turner, Michele
AU - Dye, Thomas J.
N1 - Publisher Copyright:
© 2020. Thieme. All rights reserved.
PY - 2021/2/1
Y1 - 2021/2/1
N2 - Vagus nerve stimulator (VNS)-associated sleep disordered breathing (SDB) is a poorly understood side effect of VNS treatment. We present a patient with VNS-associated SDB who underwent sleep laboratory VNS titration, evaluation by drug-induced sleep endoscopy, and treatment including adenotonsillectomy and positive airway pressure therapy. This case is unique as it is the first to document, in real time, the inverse correlation of VNS current with airflow. This case offers unique insights into mechanisms and treatment of VNS-associated SDB, and a novel approach in its management. Most importantly, this case highlights the need for collaboration between physicians managing epilepsy with VNS and those managing sleep.
AB - Vagus nerve stimulator (VNS)-associated sleep disordered breathing (SDB) is a poorly understood side effect of VNS treatment. We present a patient with VNS-associated SDB who underwent sleep laboratory VNS titration, evaluation by drug-induced sleep endoscopy, and treatment including adenotonsillectomy and positive airway pressure therapy. This case is unique as it is the first to document, in real time, the inverse correlation of VNS current with airflow. This case offers unique insights into mechanisms and treatment of VNS-associated SDB, and a novel approach in its management. Most importantly, this case highlights the need for collaboration between physicians managing epilepsy with VNS and those managing sleep.
KW - drug-induced sleep endoscopy
KW - sleep disordered breathing
KW - vagus nerve stimulator
UR - http://www.scopus.com/inward/record.url?scp=85100176555&partnerID=8YFLogxK
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U2 - 10.1055/s-0039-3402810
DO - 10.1055/s-0039-3402810
M3 - Article
AN - SCOPUS:85100176555
SN - 1304-2580
VL - 19
SP - 31
EP - 35
JO - Journal of Pediatric Neurology
JF - Journal of Pediatric Neurology
IS - 1
M1 - 1900069
ER -