Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea in a Patient with Cerebral Palsy.
case_report · Level V
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- Record sourced from PubMed, PMID 37882417.
- Also identified by DOI 10.1002/lary.31128.
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Abstract
Obstructive 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. Case report and literature review. A 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. HGNS can be a safe and effective treatment modality for OSA in this patient population. Laryngoscope, 134:2478-2479, 2024.
Medical subject headings
- Cerebral Palsy
- Electric Stimulation Therapy
- Sleep Apnea, Obstructive