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

页码：2478 / 2479

页数：2

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