By Sebastiaan Overeem, Paul Reading
Formulate cures with self assurance in case you seek advice Sleep problems in Neurology , a beneficial evaluation of either universal and infrequent neurological problems which are usually followed by way of major sleep disturbances. This concise consultant explains whilst to refer to a snooze expert in dealing with a selected sleep problem and attracts at the services of neurologists who specialise in the problems below dialogue. This functional advisor is absolutely illustrated and simply digested, supplying a counterpoint to massive encyclopedic reference volumes. The authors take you from historical past taking and diagnostic checking out, to pharmacological and non-pharmacological cures, and are joined by means of ailment sub-specialists within the chapters on illness particular sleep disturbances and the results of universal neurological drugs on sleep.
This ebook is key for sleep medication experts, in addition to for clinicians and future health care execs no longer in particular educated in sleep drugs, yet who however have to deal with neurologically broken sufferers with more and more well-known sleep-wake disturbances.
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Extra info for Sleep Disorders in Neurology
Clinical protocol The clinical version is performed as follows: subjects with electrodes attached for standard sleep recording are requested to try to fall asleep in a quiet and dimmed bedroom. Four to five sessions – sleep latency tests – are performed throughout the day with 2-hour intervals. The subject is asked to stay in bed for 20 minutes when no sleep occurs. When the subject falls asleep the duration is altered to ensure recording for 15 minutes after the onset of sleep. Sleep onset is defined as the first epoch of any sleep stage, including stage 1.
Sleep 2005; 28:113–121. 5 Carskadon MA, Dement W. Sleep tendency: an objective measure of sleep loss. Sleep Res 1977; 6:200. 6 Carskadon MA, Dement WC, Mitler MM et al. Guidelines for the multiple sleep latency test (MSLT): a standard measure of sleepiness. Sleep 1986; 9:519–524. 7 Carskadon MA, Dement WC. Effects of total sleep loss on sleep tendency. Percept Mot Skills 1979; 48:495–506. 8 Carskadon MA, Dement WC. The multiple sleep latency test: what does it measure? Sleep 1982; 5 Suppl 2:S67–S72.
The currently available tests (MSLT and MWT) are troublesome in that they may leave diagnostic uncertainty while they do not reliably predict problems that patients experience in daily life, nor do they reliably predict the risk for accidents . The most plausible explanation for these limitations is that “sleepiness” is essentially subjective in nature and therefore too complex to be represented by sleep latency alone. Nevertheless, both tests have a role in the evaluation of sleepiness. Multiple Sleep Latency Test The MSLT was introduced in 1977; it was standardized and generally accepted in 1986 [5,6].
Sleep Disorders in Neurology by Sebastiaan Overeem, Paul Reading