Case Studies in Polysomnography Interpretation + Cd

Description

The polysomnogram is a formidable sleep medicine tool, typically incorporating multiple channels of physiologic data including EEG, ECG, EMG, respiratory flow and effort, ventilation via CO2 monitoring, oxygen saturation via pulse oximetry and ventilatory treatment modalities. Aspiring experts must constantly ask themselves questions regarding PSG interpretation such as: Am I confident in using all of these modalities? Can I accurately and consistently distinguish a seizure from a movement disorder; a servo ventilator signal from an auto-titrating continuous positive airway pressure signal; an episode of Cheyne–Stokes breathing from an episode of obstructive sleep apnea? The authors take you into their own sleep laboratories and deliver real-life cases for you to interpret with them. Such expertise is vitally useful for house staff and fellows learning sleep medicine, those seeking Board certification, technologists who score PSGs and seasoned sleep clinicians managing patients with sleep-related health disorders. Every image features on the accompanying CD-ROM.

Features

• A self-testing format where each case follows a common format, including a brief clinical history and multiple possible interpretations followed by questions regarding the possible diagnoses
• All images are included on the accompanying CD-ROM
• Over 100 challenging case studies and polysomnogram (PSG) tracings, selected by more than 30 international sleep experts and masters in polysomnogram interpretation

Table of Contents

• Preface
• List of abbreviations

1. A 74-year-old man with severe ischemic cardiomyopathy and atrial fibrillation
   Robert C. Basner and Ravi K. Persaud
2. A 65-year-old man with amyotrophic lateral sclerosis
   Robert C. Basner and Ravi K. Persaud
3. An 80-year-old man with severe heart failure and witnessed apnea awake and during sleep
   Robert C. Basner and Ravi K. Persaud
4. A 33-year-old man with a history of interstitial pulmonary fibrosis and obesity
   Robert C. Basner and Ravi K. Persaud
5. A 52-year-old man being treated for sleep-related hypoventilation
   Robert C. Basner and Ravi K. Persaud
6. An 81-year-old obese woman with a history of snoring
   Robert C. Basner and Ravi K. Persaud
7. A 33-year-old obese man with idiopathic pulmonary fibrosis and snoring
   Robert C. Basner and Ravi K. Persaud
8. A 57-year-old woman with moderate obstructive sleep apnea
   Robert C. Basner and Ravi K. Persaud
9. A 57-year-old woman with potential obstructive sleep apnea
   Robert C. Basner and Ravi K. Persaud
10. An 80-year-old man with heart failure and previously documented Cheyne–Stokes breathing
    Robert C. Basner and Ravi K. Persaud
11. A 46-year-old obese man with loud snoring, witnessed apnea, and daytime sleepiness
    Robert C. Basner and Ravi K. Persaud
12. A 60-year-old woman with severe obstructive sleep apnea
    Robert C. Basner and Ravi K. Persaud
13. A 52-year-old man with valvular cardiomyopathy
    Robert C. Basner and Ravi K. Persaud
14. An otherwise healthy 40-year-old man with potential obstructive sleep apnea
    Robert C. Basner and Ravi K. Persaud
15. A 32-year-old man with observed severe snoring, and leg shaking during sleep
    Carl Bazil
16. A 20-year-old woman with extreme sleepiness who reports hypnic hallucinations, sleep paralysis, and sudden loss of muscle tone when startled
    Carl Bazil
17. A 67-year-old man with chronic sleep-onset problems and maintenance insomnia, as well as episodes of talking and walking in his sleep
    Carl Bazil
18. A 77-year-old woman with sudden episodes of loss of consciousness
    Carl Bazil
19. A 32-year-old woman with frequent nocturnal episodes of sudden arousal and short chaotic movements
    Carl Bazil
20. A 70-year-old woman with a history of hypertension and paroxysmal atrial fibrillation
    Sean M. Caples
21. A 74-year-old man with known cardiac disease, with an automated implantable cardioverter–defibrillator
    Sean M. Caples
22. A 60-year-old man with known coronary artery disease
    Sean M. Caples
23. A 38-year-old man with 'restlessness' at night prior to sleep onset
    Kelly A. Carden
24. A 50-year-old previously healthy man with obstructive sleep apnea and a recent history of palpitations
    Kelly A. Carden
25. A 53-year-old man with a history of loud snoring and daytime sleepiness
    Kelly A. Carden
26. A 27-year-old man with a 10-year history of insomnia
    Kelly A. Carden
27. A patient's sleeping habits shown in an actigraph
    Kelly A. Carden
28. A patient with a possible sleep-related breathing disorder
    Christopher Cielo and Lee J. Brooks
29. A 4-month-old boy with a history of prematurity and gastroesophageal reflux and observed pauses in breathing during sleep
    Christopher Cielo and Lee J. Brooks
30. A 7-day-old female with Pierre–Robin sequence and micrognathia
    Christopher Cielo and Carole L. Marcus
31. A 3-year-old girl with a history of static encephalopathy and severe obstructive sleep apnea
    Christopher Cielo and Carole L. Marcus
32. A 60-year-old obese patient with chronic obstructive lung disease and severe obstructive sleep apnea
    David G. Davila, Patti Reed and B. Marshall
33. A 24-year-old woman with a history of anxiety, asthma, and daytime sleepiness
    Katherine A. Dudley and Jean K. Matheson
34. A 43-year-old Chinese man with a history of obesity, difficult-to-control hypertension, and proteinuria has daytime sleepiness and snoring
    Katherine A. Dudley and Robert Thomas