Case report of hypoglossal nerve stimulation therapy failure due to significant underlying central sleep apnea.
J Clin Sleep Med
; 20(6): 1003-1007, 2024 Jun 01.
Article
in En
| MEDLINE
| ID: mdl-38450516
ABSTRACT
Hypoglossal nerve stimulation is indicated for obstructive sleep apnea but is ineffective in treating central sleep apnea. We describe 2 patients implanted with hypoglossal nerve stimulation after being diagnosed with obstructive sleep apnea at outside sleep laboratories and failing a trial of continuous positive airway pressure therapy. Despite successful hypoglossal nerve stimulation implantation, the patients continued to have persistent symptoms with residual apnea-hypopnea indices above 25 events/h. Although obstructive sleep apnea was the presenting diagnosis, we discovered a significant central sleep apnea component in the original diagnostic sleep data upon careful review. One patient was confirmed to have a central sleep apnea-predominant sleep disorder and improved with adaptive servo-ventilation therapy. The other was diagnosed with central sleep apnea and severe periodic limb movement disorder, and improved with medication. Based on these sleep apnea cases, we propose guidelines emphasizing the importance of reviewing basic clinical information upon treatment failure and initiating multidisciplinary collaboration early in the treatment course. CITATION Banerjee D, Lee C-H, Im K. Case report of hypoglossal nerve stimulation therapy failure due to significant underlying central sleep apnea. J Clin Sleep Med. 2024;20(6)1003-1007.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Electric Stimulation Therapy
/
Treatment Failure
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Sleep Apnea, Central
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Hypoglossal Nerve
Limits:
Female
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Humans
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Male
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Middle aged
Language:
En
Journal:
J Clin Sleep Med
Year:
2024
Document type:
Article