Sleep Medicine in Neurology by Douglas Kirsch

By Douglas Kirsch

A brand new addition to the Neurology in perform sequence, Sleep medication in Neurology is a realistic consultant for neurologists diagnosing and coping with sleep problems of their sufferers. As part of the sequence, numerous function bins are highlighted all through. "Tips and methods" supply feedback on how one can enhance results via useful method or sufferer wondering. furthermore, "Caution" caution bins provide important suggestion on how you can steer clear of difficulties and 'Science Revisited' containers supply fast reminders of the fundamental technology rules worthwhile for realizing the awarded ideas.

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Sleep problems have also been well documented in intrinsic restrictive ­diseases of the lungs. Questions to screen for these diseases are an important part of the sleep history. Cardiovascular diseases There is a consequential and causal relationship between SDB and various cardiovascular disorders. Central sleep apnea (CSA) may be a consequence of congestive heart failure. Hypertension, atrial fibrillation, and coronary artery disease have complex relationships with SDB. The clinical signs and symptoms of SDB in a patient with cardiovascular diseases are often non-specific and diagnosis requires a high index of suspicion in a person complaining of nocturnal dyspnea, chest pain, and palpitations.

According to a poll conducted by the National Sleep Foundation, 16% of those surveyed slept less than 6 hours on a weekday night. Daytime naps Every patient who complains of EDS should be questioned about daytime naps. Unintentional naps during periods of activity such as while working on a computer, in a meeting or lecture, or while talking with others signify significant sleepiness. 3 Epworth Sleepiness Scale. The patient gives a score of 0–4 for each situation depending on their chance of falling asleep in that situation in the recent past.

7. Have you ever felt immobile/paralyzed when you wake up from a nap? 8. Do you have any abnormal movements or behaviors that have been reported to you during naps? 9. If you wear a CPAP machine at night, do you wear it during your naps? napping should also be determined, and that also may suggest excessive sleepiness. Timing of naps should be noted, as those occurring during times of normal circadian dip (early afternoon) may not be as significant as those occurring during times typical of maximal alertness.

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