Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea in a Patient with Cerebral Palsy

被引：0
作者：
Scheffler, Patrick [1 ,2 ,3 ,6 ]
Eitan, Dana [2 ]
Drewek, Rupali [4 ]
Gnagi, Sharon [5 ]
机构：
[1] Phoenix Childrens Hosp, Div Otolaryngol, Phoenix, AZ USA
[2] Creighton Univ, Sch Med, Phoenix, AZ USA
[3] Univ Arizona, Phoenix Coll Med, Phoenix, AZ USA
[4] Phoenix Childrens Hosp, Dept Pulmonol, Phoenix, AZ USA
[5] Dell Childrens Hosp, Div Otolaryngol, Austin, TX USA
[6] Phoenix Childrens Hosp, Div Otolaryngol, 1919 E Thomas Rd, Phoenix, AZ 85016 USA
来源：
LARYNGOSCOPE | 2024年 / 134卷 / 05期
关键词：
cerebral palsy; CPAP; hypoglossal nerve stimulator; obstructive sleep apnea;
D O I：
10.1002/lary.31128
中图分类号：
R-3 [医学研究方法]; R3 [基础医学];
学科分类号：
1001 ;
摘要：
IntroductionObstructive sleep apnea (OSA) is common amongst patients with cerebral palsy in part due to significant hypotonia. Hypoglossal nerve stimulation (HGNS) is a novel tool used to treat sleep apnea when there is failure with CPAP. To our knowledge, the literature has not discussed HGNS as a treatment option for severe OSA in patients with cerebral palsy.MethodsCase report and literature review.ResultsA 28-year-old male with cerebral palsy, neuromuscular deformity, proximal junction kyphosis, and developmental delay presented with severe obstructive sleep apnea and was intolerant to CPAP and BiPAP. After HGNS implantation, a sleep study revealed improved ventilation and oxygenation at 2.4 V; AHI decreased from baseline of 112 to 12 events per hour with only mild intermittent snoring. The patient's family reported increased utilization compared with previous CPAP use.ConclusionHGNS can be a safe and effective treatment modality for OSA in this patient population. Laryngoscope, 2023
引用
收藏
页码：2478 / 2479
页数：2
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