A Potential Novel Mechanism for Vagus Nerve Stimulator-Related Central Sleep Apnea

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...

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Autores principales: Forde, Inga C., Mansukhani, Meghna P., Kolla, Bhanu Prakash, Kotagal, Suresh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5664016/
https://www.ncbi.nlm.nih.gov/pubmed/28961186
http://dx.doi.org/10.3390/children4100086
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author Forde, Inga C.
Mansukhani, Meghna P.
Kolla, Bhanu Prakash
Kotagal, Suresh
author_facet Forde, Inga C.
Mansukhani, Meghna P.
Kolla, Bhanu Prakash
Kotagal, Suresh
author_sort Forde, Inga C.
collection PubMed
description 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.
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spelling pubmed-56640162017-11-06 A Potential Novel Mechanism for Vagus Nerve Stimulator-Related Central Sleep Apnea Forde, Inga C. Mansukhani, Meghna P. Kolla, Bhanu Prakash Kotagal, Suresh Children (Basel) Case Report 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. MDPI 2017-09-29 /pmc/articles/PMC5664016/ /pubmed/28961186 http://dx.doi.org/10.3390/children4100086 Text en © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Forde, Inga C.
Mansukhani, Meghna P.
Kolla, Bhanu Prakash
Kotagal, Suresh
A Potential Novel Mechanism for Vagus Nerve Stimulator-Related Central Sleep Apnea
title A Potential Novel Mechanism for Vagus Nerve Stimulator-Related Central Sleep Apnea
title_full A Potential Novel Mechanism for Vagus Nerve Stimulator-Related Central Sleep Apnea
title_fullStr A Potential Novel Mechanism for Vagus Nerve Stimulator-Related Central Sleep Apnea
title_full_unstemmed A Potential Novel Mechanism for Vagus Nerve Stimulator-Related Central Sleep Apnea
title_short A Potential Novel Mechanism for Vagus Nerve Stimulator-Related Central Sleep Apnea
title_sort potential novel mechanism for vagus nerve stimulator-related central sleep apnea
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5664016/
https://www.ncbi.nlm.nih.gov/pubmed/28961186
http://dx.doi.org/10.3390/children4100086
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