Sleep Disorders

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?

After an argument with a colleague, a 28-year-old graduate student appears "drunk" in class. What happened on the way to the lecture?

The prediction of more shallow sleep in overweight and obese men with high testosterone levels is useful because poor sleep quality has been linked to an increased risk of diabetes and hypertension.

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.

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?

In a US study, diabetes was shown to significantly increase the odds of having restless legs syndrome and a history of diabetes was the most consistent risk factor linked to the disorder.

Inhaled corticosteroids may contribute to the high prevalence of obstructive sleep apnea among patients with asthma, a study showed.

The findings provide another good reason for those with OSA to wear a CPAP mask that helps ensure uninterrupted breathing throughout the night.

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?

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?

Poor sleep quality is strongly associated with mood disturbance and lower quality of life in persons who are extremely obese, a study says.

Brain cell damage similar to that seen in Alzheimer disease and other disorders results when a gene that controls the sleep-wake cycle and other bodily rhythms is disabled.

OSA is associated with subclinical myocardial injury as indicated by increased high-sensitivity troponin T levels, according to this study.

Iron deficiency seen in restless leg syndrome is identified as an important secondary cause and supplementation helps relieve symptoms.

What is single most appropriate diagnostic test when you suspect restless leg syndrome?

Restless leg syndrome is characterized by an urge to move the upper or lower extremities that is usually induced by rest.

RLS has several diagnostic features that distinguish it from other sleep-related disorders.

Primary care physicians can tell their sleep apnea patients that not only will they be healthier but they may well look more alert, more attractive, and more youthful.

Researchers saw significant results, including a 56% reduction in overall apnea events per hour and a more than 80% reduction in CSA events.

Identifying and managing unrecognized obstructive sleep apnea before surgery can improve postoperative airway function.

Which of these GI and skin lesions should you worry about most? Is rhabdomyolysis usually the result of infection? See how well you do with this week’s questions. . .

Collectively, sleep problems are more than a concern, they now constitute an epidemic. Consider these 10 facts and figures.

The risk of obstructive sleep apnea is increased nearly 7-fold in pregnant women with gestational DM, according to a study that used polysomnography to evaluate sleep quality.

OSA is not simply a marker for poor health but is an independent risk factor for open-angle glaucoma. Both conditions affect millions worldwide.

CPAP is first-line therapy for severe OSA but when patients complain about mask-related discomfort, what to do?

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 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.

To gain a better understanding of this national and global epidemic and its impact, consider these key facts and figures.