Diagnosing Sleep Disorders

Jul 11, 2016 by in NEUROLOGY Comments Off on Diagnosing Sleep Disorders

OVERVIEW If available, a reliable sleep history is generally more useful than sleep investigations in diagnosing sleep disorders Cyclical dips in blood oxygen saturations overnight form the basis of diagnosing…

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Normal versus Abnormal Sleep

Jul 11, 2016 by in NEUROLOGY Comments Off on Normal versus Abnormal Sleep

OVERVIEW Sleep almost certainly serves a vital function at the cellular level and is an absolute requirement for every animal In large population studies across the globe, chronically poor or…

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Sleep Apnoea Syndromes

Jul 11, 2016 by in NEUROLOGY Comments Off on Sleep Apnoea Syndromes

OVERVIEW Obstructive sleep apnoea (OSA) syndrome most commonly develops on the background of severe snoring and affects around 4% of middle-aged males Most, but not all, patients with OSA have…

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Excessive Daytime Sleepiness

Jul 11, 2016 by in NEUROLOGY Comments Off on Excessive Daytime Sleepiness

OVERVIEW Excessive daytime sleepiness (EDS) is a common symptom that is often overlooked despite causing significant disability in potentially all areas of daily activities Most commonly, EDS is secondary to…

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The Parasomnias

Jul 11, 2016 by in NEUROLOGY Comments Off on The Parasomnias

OVERVIEW Parasomnias are unwanted motor or sensory nocturnal phenomena that are usually categorised by the sleep stage (e.g. non-REM or REM) from which they most commonly arise Phenomena such as…

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Drugs Used in Sleep Medicine

Jul 11, 2016 by in NEUROLOGY Comments Off on Drugs Used in Sleep Medicine

OVERVIEW Many classes of drug, whether prescribed or recreational, are taken with the specific aim of influencing the sleep-wake cycle The formal evidence base for the pharmacological treatment of the…

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Sleep Disorders in Children

Jul 11, 2016 by in NEUROLOGY Comments Off on Sleep Disorders in Children

OVERVIEW Generally, it is parents that recognise and are troubled by sleep-related symptoms rather than the children themselves Poor quality sleep most often leads to daytime behavioural problems rather than…

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Secondary (co-morbid) Insomnia

Jul 11, 2016 by in NEUROLOGY Comments Off on Secondary (co-morbid) Insomnia

OVERVIEW A variety of common general medical conditions may seriously affect overnight sleep quality but not necessarily be recognised if symptoms are predominantly nocturnal and the subject sleeps alone Asthma,…

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Insomnia

Jul 11, 2016 by in NEUROLOGY Comments Off on Insomnia

OVERVIEW Accurately defining chronic insomnia as a sleep disorder is problematic since it is so common and widely heterogeneous in its nature Primary chronic insomnia almost certainly has long-term health…

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Sleep in Psychiatric Disease

Jul 11, 2016 by in NEUROLOGY Comments Off on Sleep in Psychiatric Disease

OVERVIEW Significant mental health problems nearly always interfere with sleep Conversely, poor quality sleep almost certainly directly contributes to many psychiatric disorders, particularly those involving low mood Major depression is…

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