{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:19:53Z","timestamp":1761823193288},"reference-count":21,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2009,10,2]],"date-time":"2009-10-02T00:00:00Z","timestamp":1254441600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2010,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215109991307_sec1\"><jats:title>Introduction:<\/jats:title><jats:p>Vagus nerve stimulators are devices used in the management of patients with drug-refractory epilepsy unsuitable for resective or disconnective surgery. Implanted usually by neurosurgeons, these devices are infrequently encountered by otolaryngologists. Despite significant anti-seizure efficacy, side effects related to laryngopharyngeal stimulation are not uncommon.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215109991307_sec2\"><jats:title>Case report:<\/jats:title><jats:p>A 28-year-old man with a history of effective vagus nerve stimulator use presented with a cluster of seizures and respiratory distress associated with intermittent stridor. The duration of stridor corresponded to the period of vagus nerve stimulation. Endoscopy revealed forced adduction of the left vocal fold against a medialised right vocal fold. The device was switched off and the stridor immediately resolved.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215109991307_sec3\"><jats:title>Conclusion:<\/jats:title><jats:p>Airway compromise is an under-recognised side effect of vagus nerve stimulation. We describe the first known case of stridor and contralateral vocal fold palsy in a vagus nerve stimulator user. We highlight the need for better understanding amongst otolaryngologists of the laryngopharyngeal side effects of this technology.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215109991307","type":"journal-article","created":{"date-parts":[[2009,10,2]],"date-time":"2009-10-02T06:55:44Z","timestamp":1254466544000},"page":"557-559","source":"Crossref","is-referenced-by-count":4,"title":["Airway compromise secondary to vagus nerve stimulator: case report and implications for otolaryngologists"],"prefix":"10.1017","volume":"124","author":[{"given":"Y M","family":"Bhatt","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P S","family":"Hans","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Belloso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2009,10,2]]},"reference":[{"key":"S0022215109991307_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(05)80259-0"},{"key":"S0022215109991307_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0920-1211(03)00107-4"},{"key":"S0022215109991307_ref16","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000244532.71743.c6"},{"key":"S0022215109991307_ref11","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.128.11.1263"},{"key":"S0022215109991307_ref21","unstructured":"21 National Institute for Health and Clinical Excellence. http:\/\/guidance.nice.org.uk\/CG20 [20 January 2009]"},{"key":"S0022215109991307_ref18","doi-asserted-by":"publisher","DOI":"10.1046\/j.1528-1157.2003.56202.x"},{"key":"S0022215109991307_ref3","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.45.2.224"},{"key":"S0022215109991307_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.nurt.2007.10.071"},{"key":"S0022215109991307_ref4","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.54.6.1388"},{"key":"S0022215109991307_ref8","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200111000-00030"},{"key":"S0022215109991307_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2006.02.037"},{"key":"S0022215109991307_ref7","unstructured":"7 The National Society for Epilepsy. http:\/\/www.epilepsynse.org.uk [20 January 2009]"},{"key":"S0022215109991307_ref9","doi-asserted-by":"publisher","DOI":"10.1097\/00004691-200109000-00005"},{"key":"S0022215109991307_ref13","doi-asserted-by":"crossref","first-page":"998","DOI":"10.1111\/j.1528-1157.1998.tb01450.x","article-title":"Aspiration: a potential complication to vagus nerve stimulation","volume":"39","author":"Lungdren","year":"1998","journal-title":"Epilepsia"},{"key":"S0022215109991307_ref19","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.55.7.1002"},{"key":"S0022215109991307_ref17","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.55.10.1450"},{"key":"S0022215109991307_ref10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1528-1157.1998.tb01298.x"},{"key":"S0022215109991307_ref1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.51.1.48"},{"key":"S0022215109991307_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(02)00094-2"},{"key":"S0022215109991307_ref15","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200404000-00037"},{"key":"S0022215109991307_ref20","doi-asserted-by":"publisher","DOI":"10.1111\/j.0013-9580.2005.16404.x"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215109991307","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,28]],"date-time":"2019-04-28T16:07:43Z","timestamp":1556467663000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215109991307\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,10,2]]},"references-count":21,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2010,5]]}},"alternative-id":["S0022215109991307"],"URL":"https:\/\/doi.org\/10.1017\/s0022215109991307","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,10,2]]}}}