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Children 2017, 4(10), 86; https://doi.org/10.3390/children4100086

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

1
Center for Sleep Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
2
Center for Sleep Medicine and Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
3
Center for Sleep Medicine and Division of Pediatric Neurology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
*
Author to whom correspondence should be addressed.
Received: 23 August 2017 / Revised: 21 September 2017 / Accepted: 27 September 2017 / Published: 29 September 2017
(This article belongs to the Special Issue Sleep Medicine in Children and Adolescents)
View Full-Text   |   Download PDF [990 KB, uploaded 29 September 2017]   |  

Abstract

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. View Full-Text
Keywords: vagus nerve stimulator; epilepsy; sleep disordered breathing; mechanisms vagus nerve stimulator; epilepsy; sleep disordered breathing; mechanisms
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Forde, I.C.; Mansukhani, M.P.; Kolla, B.P.; Kotagal, S. A Potential Novel Mechanism for Vagus Nerve Stimulator-Related Central Sleep Apnea. Children 2017, 4, 86.

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