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Pulmonary, Critical Care, and Sleep Pearls |

An 18-Year-Old Woman With Snoring and Refractory EpilepsyA Case of Snoring and Refractory Epilepsy

Karim El-Kersh, MD; Egambaram Senthilvel, MD
Author and Funding Information

From the Department of Pulmonary, Critical Care and Sleep Disorders Medicine (Dr El-Kersh), and Department of Pediatrics, Division of Sleep Medicine (Dr Senthilvel), University of Louisville, Louisville, KY.

CORRESPONDENCE TO: Karim El-Kersh, MD, Department of Pulmonary, Critical Care and Sleep Disorders Medicine, Ambulatory Care Bldg, 550 S Jackson St, Louisville, KY 40202; e-mail: karimelkersh@yahoo.com


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2015;148(2):e48-e51. doi:10.1378/chest.14-3114
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An 18-year-old woman with a history of refractory complex partial epilepsy presented for evaluation of snoring and episodes of gasping for air during sleep. She had uncontrolled epilepsy since the age of 8 years despite trial of multiple antiepileptic medications. She eventually underwent an implantation of a vagus nerve stimulator (VNS) device (model 103; Cyberonics Inc) with gradual adjustment of the VNS settings for better seizure control.

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