Vagus Nerve Stimulator–Associated Sleep Disordered Breathing: Identification, Treatment, and Outcomes in a Pediatric Patient
| Autor: | Michele Turner, Christopher Carosella, Kathleen M. Sarber, David F. Smith, Thomas J. Dye |
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| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
Side effect business.industry 030105 genetics & heredity Vagus nerve stimulator medicine.disease respiratory tract diseases 03 medical and health sciences Epilepsy Pediatric patient 0302 clinical medicine Anesthesia Pediatrics Perinatology and Child Health Positive airway pressure Sleep disordered breathing Medicine Neurology (clinical) Sleep (system call) business Inverse correlation 030217 neurology & neurosurgery |
| Zdroj: | Journal of Pediatric Neurology. 19:031-035 |
| ISSN: | 1875-9041 1304-2580 |
| DOI: | 10.1055/s-0039-3402810 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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