2020
DOI: 10.1055/s-0039-3402810
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Vagus Nerve Stimulator–Associated Sleep Disordered Breathing: Identification, Treatment, and Outcomes in a Pediatric Patient

Abstract: 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 t… Show more

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Cited by 1 publication
(2 citation statements)
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“…Early screening of sleep‐disordered breathing before as well as after VNS implantation should be considered as clinical routines. A drug‐induced sleep endoscopy may be useful in evaluating respiratory and laryngeal patterns 61 . Adjusting device parameters such as lowering stimulus intensity or frequency, switching the device off during sleep helps control respiratory symptoms and prevent exacerbation of OSAHS in most patients; whereas some others may require positive airway pressure 62 .…”
Section: Non‐pharmacological Treatments For Epilepsymentioning
confidence: 99%
See 1 more Smart Citation
“…Early screening of sleep‐disordered breathing before as well as after VNS implantation should be considered as clinical routines. A drug‐induced sleep endoscopy may be useful in evaluating respiratory and laryngeal patterns 61 . Adjusting device parameters such as lowering stimulus intensity or frequency, switching the device off during sleep helps control respiratory symptoms and prevent exacerbation of OSAHS in most patients; whereas some others may require positive airway pressure 62 .…”
Section: Non‐pharmacological Treatments For Epilepsymentioning
confidence: 99%
“…A drug-induced sleep endoscopy may be useful in evaluating respiratory and laryngeal patterns. 61 Adjusting device parameters such as lowering stimulus intensity or frequency, switching the device off during sleep helps control respiratory symptoms and prevent exacerbation of OSAHS in most patients; whereas some others may require positive airway pressure. 62 A careful VNS titration under PSG monitoring is recommended.…”
Section: Vagus Nerve Stimulationmentioning
confidence: 99%