| Autor: |
Scheffler, Patrick, Eitan, Dana, Drewek, Rupali, Gnagi, Sharon |
| Zdroj: |
Laryngoscope; May2024, Vol. 134 Issue 5, p2478-2479, 2p |
| Abstrakt: |
Introduction: Obstructive sleep apnea (OSA) is common amongst patients with cerebral palsy in part due to significant hypotonia. Hypoglossal nerve stimulation (HGNS) is a novel tool used to treat sleep apnea when there is failure with CPAP. To our knowledge, the literature has not discussed HGNS as a treatment option for severe OSA in patients with cerebral palsy. Methods: Case report and literature review. Results: A 28‐year‐old male with cerebral palsy, neuromuscular deformity, proximal junction kyphosis, and developmental delay presented with severe obstructive sleep apnea and was intolerant to CPAP and BiPAP. After HGNS implantation, a sleep study revealed improved ventilation and oxygenation at 2.4 V; AHI decreased from baseline of 112 to 12 events per hour with only mild intermittent snoring. The patient's family reported increased utilization compared with previous CPAP use. Conclusion: HGNS can be a safe and effective treatment modality for OSA in this patient population. Laryngoscope, 134:2478–2479, 2024 [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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