Journal
LARYNGOSCOPE
Volume -, Issue -, Pages -Publisher
WILEY
DOI: 10.1002/lary.31128
Keywords
cerebral palsy; CPAP; hypoglossal nerve stimulator; obstructive sleep apnea
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Hypoglossal nerve stimulation (HGNS) can be a safe and effective treatment modality for obstructive sleep apnea (OSA) in patients with cerebral palsy.
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
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