Vocal cord paralysis after vagus nerve stimulator battery replacement successfully treated with medialization thyroplasty

Matthew Hoerth, Joseph Drazkowski, Joseph Sirven, Michael Hinni, Benn Smith, David Labiner

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

The vagus nerve stimulator (VNS) has been used effectively for partial seizure disorders, however many patients suffer from side effects of alterations in voice. This case describes a new remediable adverse effect of the VNS. A patient with medically intractable epilepsy had improvement of his seizure control with VNS therapy after titrating him to a high output and rapid cycling paradigm with essentially no side effects. After a battery replacement, he was restarted on his previous settings and subsequently developed a hoarse voice. He was found to have complete left vocal cord paralysis, an adverse effect attributed to a rapid titration to his previous high output and rapid cycling paradigm. This side effect has not been previously described in the literature. The patient subsequently had a medialization thyroplasty with resolution of his hoarse voice.

Original languageEnglish (US)
Pages (from-to)788-790
Number of pages3
JournalClinical Neurology and Neurosurgery
Volume109
Issue number9
DOIs
StatePublished - Nov 2007

Fingerprint

Laryngoplasty
Vocal Cord Paralysis
Vagus Nerve
Partial Epilepsy
Seizures
Therapeutics

Keywords

  • Epilepsy
  • Hoarse voice
  • Medialization thyroplasty
  • Seizure
  • Vagus nerve stimulator

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Neurology

Cite this

Vocal cord paralysis after vagus nerve stimulator battery replacement successfully treated with medialization thyroplasty. / Hoerth, Matthew; Drazkowski, Joseph; Sirven, Joseph; Hinni, Michael; Smith, Benn; Labiner, David.

In: Clinical Neurology and Neurosurgery, Vol. 109, No. 9, 11.2007, p. 788-790.

Research output: Contribution to journalArticle

Hoerth, Matthew ; Drazkowski, Joseph ; Sirven, Joseph ; Hinni, Michael ; Smith, Benn ; Labiner, David. / Vocal cord paralysis after vagus nerve stimulator battery replacement successfully treated with medialization thyroplasty. In: Clinical Neurology and Neurosurgery. 2007 ; Vol. 109, No. 9. pp. 788-790.
@article{02d35f6d369949aa8089550a3f3a0537,
title = "Vocal cord paralysis after vagus nerve stimulator battery replacement successfully treated with medialization thyroplasty",
abstract = "The vagus nerve stimulator (VNS) has been used effectively for partial seizure disorders, however many patients suffer from side effects of alterations in voice. This case describes a new remediable adverse effect of the VNS. A patient with medically intractable epilepsy had improvement of his seizure control with VNS therapy after titrating him to a high output and rapid cycling paradigm with essentially no side effects. After a battery replacement, he was restarted on his previous settings and subsequently developed a hoarse voice. He was found to have complete left vocal cord paralysis, an adverse effect attributed to a rapid titration to his previous high output and rapid cycling paradigm. This side effect has not been previously described in the literature. The patient subsequently had a medialization thyroplasty with resolution of his hoarse voice.",
keywords = "Epilepsy, Hoarse voice, Medialization thyroplasty, Seizure, Vagus nerve stimulator",
author = "Matthew Hoerth and Joseph Drazkowski and Joseph Sirven and Michael Hinni and Benn Smith and David Labiner",
year = "2007",
month = "11",
doi = "10.1016/j.clineuro.2007.06.004",
language = "English (US)",
volume = "109",
pages = "788--790",
journal = "Clinical Neurology and Neurosurgery",
issn = "0303-8467",
publisher = "Elsevier",
number = "9",

}

TY - JOUR

T1 - Vocal cord paralysis after vagus nerve stimulator battery replacement successfully treated with medialization thyroplasty

AU - Hoerth, Matthew

AU - Drazkowski, Joseph

AU - Sirven, Joseph

AU - Hinni, Michael

AU - Smith, Benn

AU - Labiner, David

PY - 2007/11

Y1 - 2007/11

N2 - The vagus nerve stimulator (VNS) has been used effectively for partial seizure disorders, however many patients suffer from side effects of alterations in voice. This case describes a new remediable adverse effect of the VNS. A patient with medically intractable epilepsy had improvement of his seizure control with VNS therapy after titrating him to a high output and rapid cycling paradigm with essentially no side effects. After a battery replacement, he was restarted on his previous settings and subsequently developed a hoarse voice. He was found to have complete left vocal cord paralysis, an adverse effect attributed to a rapid titration to his previous high output and rapid cycling paradigm. This side effect has not been previously described in the literature. The patient subsequently had a medialization thyroplasty with resolution of his hoarse voice.

AB - The vagus nerve stimulator (VNS) has been used effectively for partial seizure disorders, however many patients suffer from side effects of alterations in voice. This case describes a new remediable adverse effect of the VNS. A patient with medically intractable epilepsy had improvement of his seizure control with VNS therapy after titrating him to a high output and rapid cycling paradigm with essentially no side effects. After a battery replacement, he was restarted on his previous settings and subsequently developed a hoarse voice. He was found to have complete left vocal cord paralysis, an adverse effect attributed to a rapid titration to his previous high output and rapid cycling paradigm. This side effect has not been previously described in the literature. The patient subsequently had a medialization thyroplasty with resolution of his hoarse voice.

KW - Epilepsy

KW - Hoarse voice

KW - Medialization thyroplasty

KW - Seizure

KW - Vagus nerve stimulator

UR - http://www.scopus.com/inward/record.url?scp=34548583938&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34548583938&partnerID=8YFLogxK

U2 - 10.1016/j.clineuro.2007.06.004

DO - 10.1016/j.clineuro.2007.06.004

M3 - Article

C2 - 17697747

AN - SCOPUS:34548583938

VL - 109

SP - 788

EP - 790

JO - Clinical Neurology and Neurosurgery

JF - Clinical Neurology and Neurosurgery

SN - 0303-8467

IS - 9

ER -