By Nancy Foldvary-Schaefer, Jyoti Krishna, Kumaraswamy Budur
Supplying a pragmatic method of the advent of sleep drugs, this easy-to-use, concise quantity makes use of genuine sufferer situations from the Cleveland health center Sleep issues middle. a large spectrum of diagnoses are integrated to reveal the reader to the vast variety of sleep-wake problems sufferer can event. Written in a concise structure designed to demonstrate the symptoms, diagnostic standards, workup and regimen remedy of sufferers featuring to the sleep hospital, this quantity serves as a pragmatic textual content ideal for the busy primary-care practitioner looking to increase her wisdom of sleep-wake problems. every time attainable, tracings from diagnostic assessments, images, and videos are supplied to augment medical shows and to help in popularity of abnormities pointed out within the sleep laboratory.
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Extra info for A Case a Week: Sleep Disorders from the Cleveland Clinic
Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med. 2001;2:297–307. Friedman M, Ibrahim H, Lee G, Joseph NJ. Combined uvulopalatopharyngoplasty and radiofrequency tongue base reduction for treatment of obstructive sleep apnea/ hypopnea syndrome. Otolaryngol Head Neck Surg. 2003;129(6):611–621. Horne JA, Ostberg O. A self-assessment questionnaire to determine morningnesseveningness in human circadian rhythms. Int J Chronobiol. 1976;4:97–110. Johns MW.
In the recently revised AASM scoring guidelines, hypopneas are deﬁned in one of 2 ways. A hypopnea is scored if the nasal pressure transducer signal decreases by 30% or more from baseline for at least 10 seconds accompanied by a desaturation that is at least 4% from baseline. 4) Sleep Stage Characteristic features Wake Alpha rhythm appears with eyes closed and is seen as trains of sinusoidal 8–13 Hz EEG waves over occipital leads that disappears with eye opening. Chin EMG is elevated and eye movements are rapid with blinks and reading/ scanning activity.
The history and examination should be judiciously tailored in this context. Assessment Tools Commonly Used in the Sleep Clinic Several questionnaires are used in sleep clinics to estimate the severity of sleepiness (Epworth Sleepiness Scale), fatigue (Fatigue Severity Scale), insomnia (Insomnia Severity Index), restless legs (International Restless Legs Syndrome Study Group Rating Scale), circadian preference (Horne-Ostberg Morningness-Eveningness Scale), and to monitor outcomes (Functional Outcome Sleep Questionnaire).
A Case a Week: Sleep Disorders from the Cleveland Clinic by Nancy Foldvary-Schaefer, Jyoti Krishna, Kumaraswamy Budur