Case Studies in Sleep Neurology: Common and Uncommon by Antonio Culebras

By Antonio Culebras

Sleep problems are more and more famous as a tremendous medical challenge, with major morbidity and enormous monetary significance. This compendium of case experiences provides a various variety of occasions which problem the problem-solving talents of all these attracted to sleep problems, protecting either universal and strange instances. every one case starts with a medical heritage, by way of exam findings and exact investigations and culminating in prognosis, remedy and administration, with dialogue of differential prognosis the place applicable. Focusing recognition at the significant different types of sleep drugs, together with insomnia, hypersomnias, sleep-breathing issues, parasomnias, flow problems, circadian dysrhythmias and the neurology of sleep, this medical advisor promotes integrative pondering and diagnostic ability. ancient and evaluation citations, illustrations and concise real-life tales stimulate reminiscence and facilitate studying. Written and edited by means of a global cadre of sleep pros, this publication will tell and problem validated experts and supply a stimulating instructing software for these in education.

Show description

Read Online or Download Case Studies in Sleep Neurology: Common and Uncommon Presentations PDF

Best neurology books


Have you visible whatever that wasn't fairly there? Heard a person name your identify in an empty apartment? Sensed a person following you and rotated to discover nothing?

Hallucinations don’t belong fully to the insane. even more in most cases, they're associated with sensory deprivation, intoxication, disease, or damage. individuals with migraines may even see shimmering arcs of sunshine or tiny, Lilliputian figures of animals and folks. individuals with failing eyesight, mockingly, might turn into immersed in a hallucinatory visible global. Hallucinations should be as a result of an easy fever or perhaps the act of waking or falling asleep, whilst humans have visions starting from luminous blobs of colour to superbly designated faces or terrifying ogres. people who are bereaved could obtain comforting “visits” from the departed. In a few stipulations, hallucinations can result in spiritual epiphanies or maybe the sensation of leaving one’s personal physique.

Humans have continuously sought such life-changing visions, and for hundreds of thousands of years have used hallucinogenic compounds to accomplish them. As a tender healthcare professional in California within the Sixties, Oliver Sacks had either a private and a pro curiosity in psychedelics. those, together with his early migraine studies, introduced a lifelong research into the forms of hallucinatory adventure.

Here, together with his ordinary splendor, interest, and compassion, Dr. Sacks weaves jointly tales of his sufferers and of his personal mind-altering studies to light up what hallucinations let us know concerning the association and constitution of our brains, how they've got encouraged each culture’s folklore and paintings, and why the opportunity of hallucination is found in us all, an integral part of the human situation.

Paediatric Neurology in Clinical General Practice: Common Neurological Problems in General Pediatrics

The final pediatrician faces an array of medical conditions in medical perform. This quantity is meant to relieve questions on one sector the final pediatrician faces: universal neurological difficulties. Emphasizing the problems that this sort of practitioner may perhaps face in daily perform, instead of infrequent or strange stipulations, this booklet describes easy methods to continue with the medical exam, analysis and administration of neurological difficulties in little ones.

Additional resources for Case Studies in Sleep Neurology: Common and Uncommon Presentations

Sample text

Follow-up The patient was referred to an otolaryngologist. Both residual adenoidal and tonsillar hypertrophy were deemed to be the cause of the sleep-disordered breathing. Revision of the adenoidectomy and tonsillectomy were done. The patient’s symptoms and O2 saturation improved immediately thereafter. A follow-up sleep study 2 months later revealed that the patient no longer demonstrated an obstructive breathing pattern or impairment in gas exchange. General remarks Obstructive sleep apnea (OSA) in infants and young children has unique features.

Other etiologies include congenital anomalies, especially those involving midfacial hypoplasia or a small nasopharynx or micrognathia, obesity, laryngomalacia and neuromuscular disorders involving muscular hypotonia or hypertonia. 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.

Nature 2006; 441: 589–94. Morgenthaler TI, Kapur VK, Brown T, et al. Standards of Practice Committee of the American Academy of Sleep Medicine. Practice parameters for the treatment of narcolepsy and other hypersomnias of central origin. Sleep 2007; 30: 1705–11. Nevsimalova S. Narcolepsy in childhood. Sleep Med Rev 2009; 13: 169–80. Case 6 A sleepy-head Antonio Culebras Clinical history Mr. X. remembered being a sleepy-head in high school. He would sleep through study hall and had great difficulty staying awake in morning classes.

Download PDF sample

Rated 4.17 of 5 – based on 45 votes