Case Studies In Sleep Neurology

Sleep disorders are increasingly recognized as a major clinical problem, with significant morbidity and considerable economic importance. This compendium of case studies presents a diverse range of situations which challenge the problem-solving abilities of all those interested in sleep disorders, covering both common and unusual cases. Each case begins with a clinical history, followed by examination findings and special investigations and culminating in diagnosis, treatment and management, with discussion of differential diagnosis where appropriate. Focusing attention on the major categories of sleep medicine, including insomnia, hypersomnias, sleep-breathing disorders, parasomnias, movement disorders, circadian dysrhythmias and the neurology of sleep, this clinical guide promotes integrative thinking and diagnostic skill. Historical and review citations, illustrations and concise real-life stories stimulate memory and facilitate learning. Written and edited by an international cadre of sleep professionals, this book will inform and challenge established specialists and provide a stimulating teaching tool for those in training.

If ever a book could be called timely, this is it. Sleep disorders medicine has made rapid advances in recent years. The field has attained growing respectability, with a textbook recently published, a congressionally man dated National Commission on Sleep Disorders Research, and a growing public awareness of the importance of sleep disorders. However, this rapid growth has made the discrepancy among certain components of the field all the more obvious. Thus, we find that patients who complain of insom nia are almost never in the majority of those seen in sleep disorders centers, in spite of the well-known fact that the prevalence of such individ uals in our society is by far the largest. Current articles on insomnia abound, but they tend to be facile recitations of diagnosis and impractical global recommendations for treat ment, without providing the essential details. Indeed, the clinical profes sions really do not know what to do about insomnia. This is reflected in a number of observations I have made in the recent past. For example, the majority of individuals who complain of insomnia take alcohol, aspirin, over-the-counter medications, hot baths, and a host of other nostrums, but rarely seek a physician. In the unlikely event that a physician is consulted, he is likely to prescribe a sleep medication but without any particular consistency, or any clear instructions on its use.

This book presents 50 of the most interesting and challenging sleep medicine clinical cases encountered by leaders in the field. The cases encompass the full spectrum of sleep medicine, with topics covering neurology, pulmonology, psychiatry, psychology, ENT, and beyond. In addition, adults and pediatric cases will be covered. Chapters that feature cases follow a similar format. A brief clinical history, is followed by physical examination, investigations/studies, differential diagnosis, discussion and management, and final or possible diagnosis. These cases are open to discussion and include teaching points. 50 Challenging Sleep Medicine Cases will intrigue residents interested in sleep medicine, sleep medicine fellows and professionals interested in case review for certification exams and to discuss unusual cases, as well as neurologists, psychiatrists, psychologists, neuropsychologists.

The polysomnogram is a formidable sleep medicine tool, typically incorporating multiple channels of physiologic data including EEG, ECG, EMG, respiratory flow and effort, ventilation via CO2 monitoring, oxygen saturation via pulse oximetry and ventilatory treatment modalities. Aspiring experts must constantly ask themselves questions regarding PSG interpretation such as: Am I confident in using all of these modalities? Can I accurately and consistently distinguish a seizure from a movement disorder; a servo ventilator signal from an auto-titrating continuous positive airway pressure signal; an episode of Cheyne-Stokes breathing from an episode of obstructive sleep apnea? The authors take you into their own sleep laboratories and deliver real-life cases for you to interpret with them. Such expertise is vitally useful for house staff and fellows learning sleep medicine, those seeking Board certification, technologists who score PSGs and seasoned sleep clinicians managing patients with sleep-related health disorders. The print edition includes a CD-ROM featuring all images.

This book uses a novel approach to clinical sleep medicine by examining real patient stories, workups and outcomes to illustrate common and not-so-common sleep-wake disorders. These case studies are complemented by high quality figures, photography and video clips.

The second edition of Sleep Disorders: A Case a Week from Cleveland Clinic continues to offer a practical approach to the introduction of sleep medicine via an easy-to-use and concise volume that uses actual patient cases from the Cleveland Sleep Disorders Clinic. This edition includes new features, such as multiple choice questions, more than 30 enhanced patient and polysomnogram videos, and a wealth of high quality polysomnographic tracings. Printed in 4-color for the first time, this book uses various imaging techniques, like clinically relevant radiography and neuroimaging, in the diagnosis and treatment of sleep disorders, serving as a resource for medical students, residents, and experienced clinicians to hone their diagnostic skills. 52 chapters - a case a week - are written to illustrate the signs and symptoms, diagnostic criteria, workup, and routine treatment of unique patient cases presented to the sleep clinic. With updates covering comprehensive discoveries, an extensive focus on comorbidities, and typical and atypical presentations of sleep disorders, this book is a valuable guide to the latest discoveries in sleep medicine.

The use of case studies is vital as an educational technique in medicine, particularly to clinicians, because it illustrates current medical methodology and values. This issue includes case studies in all the major subspecialties within neurology such as headache, multiple sclerosis, sleep, dementia, movement disorders, neck and low back pain, epilepsy, cerebrovascular disease, neuro-ophthalmology, syncope, and critical care.

This book provides a case-based illustrative approach to the understanding and management of common and important sleep disorders, including snoring and sleep disordered breathing, insomnia and circadian-rhythm disorders, as well as primary neurological sleep disorders. Case histories are written by well-established experts from University College London Hospitals who have long-standing experience of providing a multi-disciplinary approach to the management of sleep disorders. Cases focus on the recognition of presenting features of sleep disorders and their clinical importance, using real life patients from sleep clinic. Each case report provides a detailed clinical description followed by a clear explanation of the salient points. The text is supported by photographs, diagrams and line drawing and concludes with a list of key learning points. Each case history reads as stand-alone, although a common theme of presenting features, clinical features, investigation and treatment is adhered to. Cases are written in an easy-flowing prose style in an attempt to simulate the experience of seeing and discussing a real life patient case in clinical practice. The book is of interest to all clinicians who are likely to come across patients with sleep disorders in their clinical practice and wish to improve their understanding and knowledge of sleep disorders.