TY - JOUR
T1 - A potential novel mechanism for vagus nerve stimulator-related central sleep apnea
AU - Forde, Inga C.
AU - Mansukhani, Meghna P.
AU - Kolla, Bhanu Prakash
AU - Kotagal, Suresh
N1 - Publisher Copyright:
© 2017 by the authors.
PY - 2017/10
Y1 - 2017/10
N2 - The treatment of epilepsy with vagus nerve stimulation can inadvertently cause obstructive and central sleep apnea (CSA). The mechanism for CSA seen in patients with a vagus nerve stimulator (VNS) is not fully known. We describe the case of a 13-year-old girl in whom VNS activation induced tachypnea and post-hyperventilation central apnea. Following adjustment of VNS settings, the post-hyperventilation CSA resolved. Polysomnography may assist with management when patients with epilepsy develop sleep disruption after VNS placement.
AB - The treatment of epilepsy with vagus nerve stimulation can inadvertently cause obstructive and central sleep apnea (CSA). The mechanism for CSA seen in patients with a vagus nerve stimulator (VNS) is not fully known. We describe the case of a 13-year-old girl in whom VNS activation induced tachypnea and post-hyperventilation central apnea. Following adjustment of VNS settings, the post-hyperventilation CSA resolved. Polysomnography may assist with management when patients with epilepsy develop sleep disruption after VNS placement.
KW - Epilepsy
KW - Mechanisms
KW - Sleep disordered breathing
KW - Vagus nerve stimulator
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U2 - 10.3390/children4100086
DO - 10.3390/children4100086
M3 - Article
AN - SCOPUS:85073039432
SN - 2227-9067
VL - 4
JO - Children
JF - Children
IS - 10
M1 - 86
ER -