Case Studies in Sleep Neurology (Case Studies in Neurology) by Antonio Culebras

By Antonio Culebras

Sleep problems are more and more famous as a big medical challenge, with major morbidity and huge financial significance. This compendium of case reviews offers a various variety of occasions which problem the problem-solving skills of all these drawn to sleep issues, overlaying either universal and strange circumstances. every one case starts off with a scientific heritage, through exam findings and distinctive investigations and culminating in prognosis, therapy and administration, with dialogue of differential prognosis the place acceptable. Focusing awareness at the significant different types of sleep medication, together with insomnia, hypersomnias, sleep-breathing issues, parasomnias, move problems, circadian dysrhythmias and the neurology of sleep, this medical consultant promotes integrative considering and diagnostic ability. ancient and evaluate citations, illustrations and concise real-life tales stimulate reminiscence and facilitate studying. Written and edited by means of a world cadre of sleep pros, this publication will tell and problem demonstrated experts and supply a stimulating educating instrument for these in education.

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In adults, obstructive events are usually terminated by arousals or awakenings, with subsequent sleep fragmentation, daytime hypersomnolence and poor vigilance. In contrast, arousals are less frequent in infants and children, who are more likely to manifest prolonged episodes of partial obstruction and hypoventilation without an interruption in sleep. Perhaps this is the reason that hypersomnolence is not commonly seen in children. The leading predisposing factor for OSAS in children is adenotonsillar hypertrophy.

In contrast, OSA in adults occurs most commonly as a result of obesity. The clinical manifestations of OSAS in older children include continuous snoring, difficulty breathing while asleep and restless sleep. Parents are usually concerned and report loud snoring and retractions. Also, parents sometimes describe episodes of increased respiratory efforts with no airflow, followed by gasping, choking, movement or arousal. g. through hyperextension of the neck. Nocturnal enuresis may develop as a result of OSAS in children.

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