Annals of Thoracic Medicine Official publication of the Saudi Thoracic Society, affiliated to King Saud University
 
Search Ahead of print Current Issue Archives Instructions Subscribe e-Alerts Login 
Home Email this article link Print this article Bookmark this page Decrease font size Default font size Increase font size
CASE REPORT
Year : 2016  |  Volume : 11  |  Issue : 2  |  Page : 151-154

The therapeutic dilemma of vagus nerve stimulator-induced sleep disordered breathing


1 Sleep Disorder Center, Neuroscience Institute, JFK Medical Center, Edison, Newark, New Jersey, USA
2 Department of Neurosciences and Neurology, Rutgers University - New Jersey Medical School, Newark, New Jersey, USA
3 Sleep Disorder Center, Neuroscience Institute, JFK Medical Center, Edison; Department of Neurosciences and Neurology, Rutgers University - New Jersey Medical School, Newark, New Jersey, USA

Correspondence Address:
Hinesh Upadhyay
Sleep Disorder Center, Neuroscience Institute, JFK Medical Center, Edison, Newark, New Jersey
USA
Login to access the Email id


DOI: 10.4103/1817-1737.180025

PMID: 27168865

Rights and Permissions

Intermittent vagus nerve stimulation (VNS) can reduce the frequency of seizures in patients with refractory epilepsy, but can affect respiration in sleep. Untreated obstructive sleep apnea (OSA) can worsen seizure frequency. Unfortunately, OSA and VNS-induced sleep disordered breathing (SDB) may occur in the same patient, leading to a therapeutic dilemma. We report a pediatric patient in whom OSA improved after tonsillectomy, but coexistent VNS-induced SDB persisted. With decrease in VNS output current, patient's SDB improved, but seizure activity exacerbated, which required a return to the original settings. Continuous positive airway pressure titration was attempted, which showed only a partial improvement in apnea–hypopnea index. This case illustrates the need for clinicians to balance seizure control and SDB in patients with VNS.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2588    
    Printed44    
    Emailed0    
    PDF Downloaded319    
    Comments [Add]    

Recommend this journal