Physiological Changes of Sleep

Oct 7, 2017 by in NEUROLOGY Comments Off on Physiological Changes of Sleep

Parameters Wakefulness NREM sleep REM sleep Respiratory rate Normal Decreases Variable, apnea may occur Minute ventilation Normal Decreases Decreases further Alveolar ventilation Normal Decreases Decreases further PaCO2 Normal Increases slightly…

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Motor Control and Dyscontrol in Sleep

Oct 7, 2017 by in NEUROLOGY Comments Off on Motor Control and Dyscontrol in Sleep

Fig. 39.1 a Showing schematically the principal relationships between cerebellum and other components of the motor system. PMC Premotor cortex, SMA Supplementary motor area, MC Motor cortex, SC Somesthetic cortex, SPL…

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Sleep and Epilepsy

Oct 7, 2017 by in NEUROLOGY Comments Off on Sleep and Epilepsy

Fig. 44.1 Interictal, primarily generalized epileptiform discharges (4- to 5-Hz spike-and-wave and multiple spike-and-wave discharges) seen synchronously and symmetrically with frontal dominance of amplitude in a patient with generalized tonic-clonic seizures….

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Evaluation and Monitoring of Respiratory Function

Oct 7, 2017 by in NEUROLOGY Comments Off on Evaluation and Monitoring of Respiratory Function

Fig. 20.1 This figure obtained from Cleveland Clinic Journal of Medicine with permission 2003 Oct; 70(10):866, 868, 871–873 The flow-volume loop is another aspect of data generated from spirometry characterized by…

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Neurotransmitters, Neurochemistry, and the Clinical Pharmacology of Sleep

Oct 7, 2017 by in NEUROLOGY Comments Off on Neurotransmitters, Neurochemistry, and the Clinical Pharmacology of Sleep

Classification Pharmacological agent (brand name(s)) Amphetamine derivatives Amphetamine mixed salt (Adderall), dextroamphetamine (Dexedrine, Dextroamphet, Dextrostat, ProCentra), methamphetamine (Desoxyn), lisdexamfetamine (Vyvanse), benzphetamine (Didrex), methylphenidate (Ritalin, Concerta, Metadate, Methylin, Quillivant) DA precursor…

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Parasomnias

Oct 7, 2017 by in NEUROLOGY Comments Off on Parasomnias

Somnambulism Sleep terrors (A) Ambulation occurs during sleep (B) Persistence of sleep, an altered state of consciousness or impaired judgment during ambulation demonstrated by at least one of the following:…

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Scoring of Sleep-Related Breathing Events

Oct 7, 2017 by in NEUROLOGY Comments Off on Scoring of Sleep-Related Breathing Events

Fig. 25.1 Spontaneous switch from unstable to stable NREM sleep. 5-min polysomnogram snapshot of stage N2, showing the relatively abrupt switch from a state of respiratory event and arousals to a…

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