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Wednesday, December 17, 2014

An electrical cause of stridor: Pediatric vagal nerve stimulators.

Int J Pediatr Otorhinolaryngol. 2014 Nov 21. pii: S0165-5876(14)00592-8. doi: 10.1016/j.ijporl.2014.10.037. [Epub ahead of print]

An electrical cause of stridor: Pediatric vagal nerve stimulators.

Kelts G1, O'Connor PD2, Hussey RW3, Maturo S4.

Author information
  • 1San Antonio Uniformed Services Health Education Consortium, Otolaryngology, United States. Electronic address: gregory.i.kelts.mil@mail.mil.
  • 2San Antonio Uniformed Services Health Education Consortium Center, Otolaryngology, United States.
  • 3San Antonio Uniformed Services Health Education Consortium, Pediatric Neurology, United States.
  • 4San Antonio Uniformed Services Health Education Consortium, Otolaryngology, United States.
Abstract

Vagal nerve stimulators (VNS) are surgically implantable medical devices which are approved by the food and drug administration (FDA) for treatment of medically refractory epilepsy in children. Two children with seizures disorders presented to the pediatric otolaryngology clinic with complaints of stridor and sleep apnea following implantation of VNS devices. Both children were evaluated with flexible laryngoscopy, direct laryngoscopy and bronchoscopy. The children were noted to have contraction of their vocal folds and supraglottis and the settings of their VNS were adjusted until no further contractions were noted. Each child had resolution of their symptoms following adjustment.

Published by Elsevier Ireland Ltd.

KEYWORDS:

Direct laryngoscopy; Sleep apnea; Stridor; Vagal nerve stimulator

PMID:
25500186
[PubMed - as supplied by publisher]
 
 http://www.ncbi.nlm.nih.gov/pubmed/25500186
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