Nighttime Terror in a Young Boy: Your Dx?
Slurred Speech: What Does Sleep Have to do With It?
What Treatment for Delayed Sleep Phase Disorder?
Unmasking Sleep Apnea with Polysomnography
CPAP Mask Maneuvers
Obstructive Sleep Apnea: What are the Components of Risk?
Excessive Daytime Sleepiness: Which Evaluation First?
A 40-year-old man complains of daytime sleepiness that is getting progressively worse. His concentration and memory are failing. Results of labs are normal. Which evaluation tool would you choose?
Slurred Speech After an Argument: What's Sleep Got to Do With It?
After an argument with a colleague, a 28-year-old graduate student appears "drunk" in class. What happened on the way to the lecture?
Polysomnography Unmasks Sleep Apnea
Results of this sleep study help diagnose the specific type of sleep apnea. Evidence of 5 or more predominantly obstructive respiratory events per hour of sleep suggests obstructive disease.
Obstructive Sleep Apnea: Just Who Is at Risk?
During his annual physical examination, a 54-year-old man has no major complaints, reports restful sleep, and is not tired during the day. Is he at risk for obstructive sleep apnea?
Delayed Sleep Phase Disorder: Which Treatment for a Young Man?
A 17-year-old student can't fall asleep, can't wake up, and is falling behind in school. Which of the therapies suggested here do you think would help reset his diurnal rhythms?
Bedtime Distress in a 7-Year-Old Boy: Your Dx?
Shortly after he falls asleep, the child sits up in bed and shrieks, then cries and cannot be wakened when touched. His parents are very concerned. What do you suspect?
If RLS Is Presumed, Order a Serum Ferritin Level
Iron deficiency seen in restless leg syndrome is identified as an important secondary cause and supplementation helps relieve symptoms.
If RLS Is Suspected, What Test Would You Order Next?
What is single most appropriate diagnostic test when you suspect restless leg syndrome?
Restless Leg Syndrome: An Urge to Move Triggered by Rest
Restless leg syndrome is characterized by an urge to move the upper or lower extremities that is usually induced by rest.
Restless Leg Syndrome: Which Symptom Is a Diagnostic Feature?
RLS has several diagnostic features that distinguish it from other sleep-related disorders.
CPAP for Severe Obstructive Sleep Apnea: Does Discomfort Warrant Discontinuation?
CPAP is first-line therapy for severe OSA but when patients complain about mask-related discomfort, what to do?
Shiftwork and Sleep Disruption: What Are the Consequences?
Shiftwork disorder, a pattern of daytime sleepiness and insomnia that is a result of working during the usual time for sleep, is just one of the negative sequelae.
Shiftwork and Sleep Disruption: A Dangerous Combination
Shiftwork disorder is a prolonged pattern of daytime sleepiness and insomnia that is a result of working during hours that overlap the usual time for sleep.
Snoring
Snoring is a hallmark symptom of OSA and so serves as an early warning sign of potential morbidiy and mortality.
Insomnia
Maladaptive behavior can produce poor sleep and worsen insomnia complaints.
