Sleep medicine pearls

Content: 
Inside Front Cover, Page ES2
Front Matter, Pages i-ii
Copyright, Page iv
Dedication, Page v
Preface, Page vi
Video Contents, Page xii
Fundamentals 1: Sleep Stage Nomenclature and Basic Monitoring of Sleep, Pages 1-6
Patient 1 - EEG Derivations and Eye Movements, Pages 6-9
Fundamentals 2: Electroencephalography and Electrooculography Patterns of Interest for Staging Sleep, Pages 10-14
Patient 2 - Alpha Rhythm and Sleep Spindles in a 20-Year-Old Man, Pages 14-16
Fundamentals 3: Sleep Staging in Adults I, Pages 17-25
Patient 3 - A 35-Year-Old Woman Who is Taking Fluoxetine and a Benzodiazepine, Pages 26-28
Patient 4 - Scoring Stage N1 versus Stage W in Two Patients, Pages 28-30
Patient 5 - Recognizing Stages N1 and N2, Pages 31-33
Patient 6 - Recognizing Stage N3 in a Normal Individual and a Patient with Chronic Pain, Pages 33-36
Fundamentals 4: Scoring Stage R, Pages 37-43
Patient 7 - An Arousal Interrupts Stage N2 and Stage R Sleep, Pages 43-45
Fundamentals 5: Arousals and Major Body Movements, Pages 46-48
Patient 8 - Scoring Stage R, Pages 48-49
Patient 9 - Identifying Stage R in a Woman with Violent Behavior During Sleep, Pages 50-52
Patient 10 - A Patient with a Major Body Movement During Sleep, Pages 53-54
Fundamentals 6: Sleep Staging in Infants and Children, Pages 55-60
Patient 11 - A 3-Year-Old Male Undergoes a Sleep Study, Pages 61-63
Fundamentals 7: Sleep Architecture Terminology and Normal Patterns, Pages 64-68
Patient 12 - Sleep in a 20-Year-Old Man, a 2-Month-Old Infant, and a 6-Month-Old Child, Pages 69-70
Patient 13 - Short REM Latency, Pages 70-73
Fundamentals 8: Effects of Sleep Disorders and Medications on Sleep Architecture, Pages 74-77
Patient 14 - Medications and Sleep, Pages 78-79
Fundamentals 9: Polysomnography I, Pages 80-87
Patients 15 - A Patient with Artifact in Many Channels, Pages 88-90
Fundamentals 10: Indications for Polysomnography, Portable Monitoring, and Actigraphy, Pages 91-98
Patient 16 - Out-of-Center Sleep Testing versus Portable Monitoring, Pages 98-101
Fundamentals 11: Artifacts, Pages 102-107
Patient 17 - Patients with Eye Movements of Interest, Pages 108-110
Patient 18 - A Patient with Artifacts in the EEG and EOG Derivations, Pages 111-113
Fundamentals 12: Monitoring Respiration, Pages 114-120
Patient 19 - Respiratory Monitoring Questions, Pages 120-123
Fundamentals 13: Respiratory Event Definitions in Adults, Pages 124-130
Patient 20 - Identifying Respiratory Events, Pages 131-134
Patient 21 - Two Patients with Possible Central Apnea, Pages 134-137
Patient 22 - Why is the Arterial Oxygen Desaturation Severe?, Pages 137-139
Fundamentals 14: Respiratory Events in Children, Pages 140-144
Patient 23 - Sickle Disease and an Unexplained Low Arterial Oxygen Saturation, Pages 144-149
Patient 24 - Central Apnea and Obstructive Hypoventilation in Children, Pages 149-151
Fundamentals 15: Electrocardiography Monitoring During Sleep Studies, Pages 152-158
Patient 25 - A Patient with Slowing of Heart Rate During Sleep, Pages 159-161
Patient 26 - Patients with a Sudden Increase in Heart Rate, Pages 162-165
Fundamentals 16: Monitoring Limb and Other Movements During Sleep, Pages 166-173
Patient 27 - Identifying Movements During Sleep, Pages 174-177
Patient 28 - A Child with Repeated Movements During Sleep, Pages 178-180
Fundamentals 17: Subjective and Objective Measures of Sleepiness, Pages 181-187
Patient 29 - Two Patients with Questionable MSLT Results, Pages 187-189
Patient 30 - Evaluating an MSLT, Pages 190-194
Patient 31 - Scoring an MSLT and an MWT, Pages 195-199
Fundamentals 18: Sleepiness and Sleep Complaints in Children, Pages 200-202
Patient 32 - A Teenager with Sleep-Onset REM, Pages 203-205
Patient 33 - Sleep in Children, Pages 206-207
Fundamentals 19: Diagnosis of Obstructive Sleep Apnea Syndromes in Adults, Pages 208-215
Patient 34 - A Patient with a Negative Out-of-Center Sleep Test, Pages 216-217
Patient 35 - A 30-Year-Old Woman with Unexplained Daytime Sleepiness, Pages 218-222
Patient 36 - Women with Loud Snoring, Pages 223-225
Fundamentals 20: Obstructive Sleep Apnea in Adults: Epidemiology and Variants, Pages 226-229
Patient 37 - A 45-Year-Old Man with a Distinct Pattern of Desaturation, Pages 230-233
Patient 38 - A Patient with Severe Obesity and Hypercapnia, Pages 234-237
Fundamentals 21: Pediatric Obstructive Sleep Apnea, Pages 238-244
Patient 39 - A 5-Year-Old Child with Behavior Problems, Pages 245-246
Patient 40 - A Snoring Patient Goes to Surgery, Pages 247-249
Patient 41 - A 50-Year-Old Man with Severe Hypertension, Pages 249-251
Patient 42 - A Patient with Insomnia and Snoring, Pages 252-254
Patient 43 - A Patient with Snoring and Recent Cerebrovascular Accident, Pages 254-256
Patient 44 - An Patient with Obstructive Sleep Apnea Gets Sleepy While Driving, Pages 256-259
Fundamentals 22: Obstructive Sleep Apnea: Treatment Overview and Medical Treatments, Pages 260-266
Patient 45 - Patient with OSA and Weight Loss, Pages 266-269
Patient 46 - Postural OSA, Pages 269-271
Fundamentals 23: PAP Modes and Treatment, Pages 272-279
Patient 47 - Unable to Tolerate Nasal CPAP Because of “Too Much Pressure”, Pages 279-283
Fundamentals 24: PAP Titration and Auto-Titration, Pages 284-292
Patient 48 - Questions About PAP Titration, Pages 293-295
Patient 49 - PAP Titration Questions, Pages 296-298
Patient 50 - A 50-Year-Old Man with Problems During a CPAP Titration, Pages 299-301
Fundamentals 25: PAP Adherence, Pages 302-306
Patient 51 - A Patient with a High Residual AHI on PAP, Pages 307-310
Patient 52 - Intervention for PAP Problems, Pages 310-313
Patient 53 - Nasal Congestion and Oronasal Masks, Pages 314-317
Patient 54 - Auto-Titration, Pages 318-321
Patient 55 - A Man with OSA Still Sleepy on Nasal CPAP, Pages 322-326
Patient 56 - A Retired Nurse with Nocturia and Snoring, Pages 326-328
Patient 57 - A Patient with Claustrophobia, Pages 328-330
Patient 58 - An Obese 12-Year-Old with Sleep Apnea and Enlarged Tonsils, Pages 331-333
Patient 59 - Persistent OSA after TNA, Pages 333-335
Patient 60 - CPAP Treatment in a Child, Pages 336-338
Patient 61 - A 20-Year-Old Female with Daytime Sleepiness Since Childhood, Pages 338-340
Fundamentals 26: Surgical Treatment for Obstructive Sleep Apnea, Pages 341-348
Patient 62 - A Man with Severe OSA and Limited Treatment Options, Pages 348-350
Patient 63 - Upper Airway Surgery in Two Patients, Pages 351-353
Fundamentals 27: Oral Appliance Treatment for Obstructive Sleep Apnea, Pages 354-359
Patient 64 - A 40-Year-Old Man with Sleep Apnea Unable to Accept CPAP Treatment, Pages 360-362
Patient 65 - A 45-Year-Old Woman Experiencing Daytime Sleepiness After UPPP, Pages 362-364
Fundamentals 28: Asthma and COPD, Pages 365-370
Patient 66 - 35-Year-Old Woman with Asthma and Poor Sleep at Night, Pages 371-373
Patient 67 - A 55-Year-Old Man with Chronic Obstructive Pulmonary Disease and Snoring, Pages 373-377
Patient 68 - A 55-Year-Old Man with COPD and Nocturnal Desaturation, Pages 378-381
Patient 69 - A Patient with Snoring and Heart Failure, Pages 382-385
Fundamentals 29: Central Sleep Apnea and Sleep-Related Hypoventilation Disorders, Pages 386-394
Patient 70 - A Man with Unexplained Central Sleep Apnea, Pages 395-398
Fundamentals 30: Advanced PAP Modes and NPPV Titration, Pages 399-409
Patient 71 - Three Patients with Central Apneas on CPAP, Pages 409-414
Patient 72 - Treatment-Emergent Central Sleep Apnea, Pages 415-419
Patient 73 - A Patient with CHF and Central Apnea, Pages 419-424
Patient 74 - A Patient with Sleep Apnea on Pain Medications, Pages 424-427
Patients 75 - A Newborn with Cyanosis and a Young Child with Hypoventilation, Pages 427-430
Patient 76 - A Young Woman with Headaches and Central Apnea and a Man with Breathing Pauses After Stroke, Pages 431-433
Patient 77 - Bilevel Positive Airway Pressure (BPAP) and Adaptive Servoventilation (ASV), Pages 434-436
Patients 78 - Patients with a Neuromuscular Disorder, Pages 436-441
Fundamentals 31: Diagnosis of RLS and PLMD, Pages 442-449
Patients 79 - Patients with Leg Kicks on a Sleep Study, Pages 449-452
Patient 80 - A 58-Year-Old Man with Sleep Apnea and Leg Jerks on CPAP, Pages 452-454
Fundamentals 32: Treatment of RLS and PLMD, Pages 455-463
Patient 81 - Problems with Dopamine Agonist Treatment for RLS, Pages 463-466
Patient 82 - Patients on Dopamine Agonists with Worsening RLS, Pages 466-469
Patient 83 - A Patient with RLS and Pain and a Patient with Ropinirole-Induced Nausea, Pages 469-471
Patient 84 - Patients with RLS and Treatment Challenges, Pages 471-474
Patient 85 - A Child with Difficulty Staying Asleep and Leg Kicks, Pages 474-476
Fundamentals 33: Hypersomnolence of Central Origin—I, Pages 477-485
Patient 86 - A 20-Year-Old Woman with Emotion-Induced Weakness, Pages 486-488
Patient 87 - A 45-Year-Old Male with Severe Sleepiness, Pages 489-492
Patient 88 - A Patient with Frequent Cataplexy and Sleep Paralysis, Pages 492-495
Patient 89 - A Patient with Sleep Apnea and Possible Narcolepsy, Pages 496-498
Patient 90 - A Child with Sleepiness and “Syncope”, Pages 499-501
Patient 91 - Modafinil and Narcolepsy, Pages 502-504
Patient 92 - A 25-Year-Old Woman with Narcolepsy Who Is Still Sleepy on Medication, Pages 504-508
Patient 93 - Patients with Daytime Sleepiness and Cataplexy, Pages 508-511
Patient 94 - A Patient with Extreme Difficulty Getting Out of Bed in the Morning, Pages 512-514
Fundamentals 34: Hypersomnolence of Central Origin II, Pages 515-519
Patient 95 - A 35-Year-Old Man Requesting Stimulant Medication, Pages 519-522
Patient 96 - Insufficient Sleep, Pages 522-524
Patient 97 - A Patient with Prader-Willi Syndrome and Daytime Sleepiness, Pages 524-527
Patient 98 - Sleepiness After Head Trauma, Pages 527-530
Patient 99 - A Patient with Possible Narcolepsy and Weakness in the Hands, Pages 530-532
Fundamentals 35: Parasomnia, Pages 533-541
Patient 100 - A 20-Year-Old Student with Severe “Nightmares”, Pages 541-544
Patient 101 - Violent Behavior During Sleep, Pages 545-547
Patient 102 - Patients with Violent Dreams, Pages 547-549
Patient 103 - A Woman Who Eats During the Night and Does Not Remember, Pages 550-552
Patient 104 - A Woman Who Moans at Night and a Woman Who Experiences Jerks When Falling Asleep, Pages 552-555
Fundamentals 36: Clinical Electroencephalography and Epilepsy, Pages 556-563
Patient 105 - Rhythmic Electroencephalography Pattern During Polysomnography, Pages 564-566
Patient 106 - A 55-Year-Old Man with Unusual Movements During Sleep, Pages 567-572
Patient 107 - Abnormal Behavior During Sleep, Pages 573-576
Patient 108 - A Child with Mouth Movements During Sleep and a Teenager with Jerks in the Morning After Awakening, Pages 577-579
Patient 109 - Patients with Parkinsonism and Sleep Problems, Pages 579-583
Fundamentals 37: Evaluation of Insomnia, Pages 584-592
Patient 110 - A 30-Year-Old Woman Having Difficulty Falling and Staying Asleep, Pages 593-594
Patient 111 - A Patient with Insomnia and an Irregular Sleep Pattern, Pages 595-597
Patient 112 - A Woman with Sleepless Nights, Pages 598-599
Fundamentals 38: Behavioral Treatment of Insomnia, Pages 600-604
Patient 113 - Behavioral Insomnia of Childhood, Pages 604-607
Patient 114 - Patient with Unfavorable Sleep Habits, Pages 607-609
Fundamentals 39: Pharmacologic Treatment of Insomnia, Pages 610-619
Patient 115 - Sleep-Maintenance Insomnia While Taking a Hypnotic, Pages 620-622
Patient 116 - Middle-of-the-Night Awakening and a Patient with Drug Dependence and Insomnia, Pages 622-625
Fundamentals 40: Circadian Rhythm Sleep-Wake Disorders, Pages 626-634
Patient 117 - A 20-Year-Old with Difficulty Falling Asleep, Pages 634-638
Patient 118 - A 60-Year-Old Man with Early-Morning Awakening, Pages 638-640
Patient 119 - A Patient with Periods of Insomnia and Daytime Sleepiness, Pages 641-643
Patient 120 - An Older Woman with an Irregular Sleep Schedule, Pages 643-646
Patient 121 - A Patient with Night Shift Work, Pages 646-649
Patient 122 - Patients with Jet Lag, Pages 650-653
Fundamentals 41: Psychiatry and Sleep, Pages 654-660
Patient 123 - Patients with Fatigue and Abnormal Sleep, Pages 661-664
Patient 124 - A 45-Year-Old Man with Persistent Insomnia While on Treatment for Depression, Pages 665-667
Patient 125 - A 30-Year-Old Woman Who Has Difficulty Getting Out of Bed, Pages 668-670
Patient 126 - Patients with Terrifying Awakenings, Pages 671-673
Patient 127 - A 50-Year-Old Combat Veteran with Upsetting Dreams, Pages 673-675
Appendix 1 - Normal Ranges for Sleep Architecture, Page e1
Appendix 2 - Typical Values for Sleep Parameters in Normal Children, Pages e2-e3
Appendix 3 - Medicare Guidelines for Reimbursement for Respiratory Assist Device, Pages e4-e5
Glossary, Pages e6-e14
Index, Pages 677-690
Inside Back Cover, Page ES3