Vocal cord adduction causing obstructive sleep apnea from vagal nerve stimulation: case report

J Pediatr. 2012 May;160(5):868-70. doi: 10.1016/j.jpeds.2012.01.045. Epub 2012 Feb 23.

Abstract

A recognized complication of vagal nerve stimulation is new or worsening sleep apnea. Its pathophysiology is not clearly understood. We report a patient with obstructive sleep apnea that was directly associated with vagal nerve stimulation causing recurring vocal cord adduction. Adjusting the stimulator settings resolved the problem.

Publication types

  • Case Reports

MeSH terms

  • Anticonvulsants / therapeutic use
  • Child
  • Disease Progression
  • Electroencephalography / methods
  • Epilepsies, Partial / diagnosis
  • Epilepsies, Partial / therapy*
  • Follow-Up Studies
  • Humans
  • Laryngoscopy / methods
  • Male
  • Oximetry / methods
  • Polysomnography / methods
  • Risk Assessment
  • Severity of Illness Index
  • Sleep Apnea, Obstructive / etiology*
  • Sleep Apnea, Obstructive / physiopathology
  • Vagus Nerve Stimulation / adverse effects*
  • Vagus Nerve Stimulation / methods
  • Vocal Cords / physiopathology*

Substances

  • Anticonvulsants