By Antonio Culebras
Sleep problems are more and more famous as an enormous scientific challenge, with major morbidity and enormous monetary significance. This compendium of case stories offers a various variety of occasions which problem the problem-solving talents of all these drawn to sleep issues, masking either universal and strange instances. every one case starts off with a medical historical past, by means of exam findings and specific investigations and culminating in prognosis, therapy and administration, with dialogue of differential prognosis the place acceptable. Focusing consciousness at the significant different types of sleep drugs, together with insomnia, hypersomnias, sleep-breathing problems, parasomnias, stream problems, circadian dysrhythmias and the neurology of sleep, this scientific consultant promotes integrative considering and diagnostic ability. historic and assessment citations, illustrations and concise real-life tales stimulate reminiscence and facilitate studying. Written and edited by way of a global cadre of sleep execs, this booklet will tell and problem tested experts and supply a stimulating educating instrument for these in education.
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Extra resources for Case Studies in Sleep Neurology: Common and Uncommon Presentations
She had normal S1 and S2 heart sounds. She had no cardiac murmur. She had normal muscle tone. On the basis of the history of snoring and paradoxical breathing, and desaturation during sleep, sleep-disordered breathing was suspected and the patient was referred for confirmation by polysomnography (PSG). 5 months old. Recorded parameters included an EEG, submental and anterior tibialis EMG, ECG, electro-oculogram (right and left), arterial oxyhemoglobin saturation (SpO2) by pulse oximetry, endtidal CO2 (PETCO2), oral airflow via thermister, thoracic and abdominal motion by respiratory inductance plethysmography, and a digital video and audio recording.
Iranzo A, Santamarı´a J, Tolosa E, et al. Long-term effect of CPAP in the treatment of nocturnal stridor in multiple system atrophy. Neurology 2004; 63: 930–2. Vetrugno R, Provini F, Cortelli P, et al. Sleep disorders in multiple system atrophy: a correlative video-polysomnographic study. Sleep Med. 2004; 5: 21–30. Vetrugno R, Liguori R, Cortelli P, et al. Sleep-related stridor due to dystonic vocal cord motion and neurogenic tachypnea/tachycardia in multiple system atrophy. Mov Disord 2007; 22: 673–8.
2). Question Why does this patient have central sleep apnea? General remarks This case is a good example of opioid-induced central sleep apnea. 4 0 93–96 90% (in NREM) Note: TST, total sleep time; WASO, wake after sleep onset; REM, rapid eye movement; AHI, apnea–hypopnea index; NREM, non-rapid eye movement. Pain Society in 1997, which advocated the aggressive use of opioids. This has been accompanied by recognition of the undertreatment of pain and the adoption of pain as another vital sign alongside temperature, heart rate, blood pressure and respiration.