Book contents
- Case Studies in Polysomnography Interpretation
- Case Studies in Polysomnography Interpretation
- Copyright page
- Contents
- Contributors
- Preface
- Abbreviations
- Case 1 A 74-year-old man with severe ischemic cardiomyopathy and atrial fibrillation
- Case 2 A 65-year-old man with amyotrophic lateral sclerosis
- Case 3 An 80-year-old man with severe heart failure and witnessed apnea awake and during sleep
- Case 4 A 33-year-old man with a history of interstitial pulmonary fibrosis and obesity
- Case 5 A 52-year-old man being treated for sleep-related hypoventilation
- Case 6 An 81-year-old obese woman with a history of snoring
- Case 7 A 33-year-old obese man with idiopathic pulmonary fibrosis and snoring
- Case 8 A 57-year-old woman with moderate obstructive sleep apnea
- Case 9 A 57-year-old woman with potential obstructive sleep apnea
- Case 10 An 80-year-old man with heart failure and previously documented Cheyne–Stokes breathing
- Case 11 A 46-year-old obese man with loud snoring, witnessed apnea, and daytime sleepiness
- Case 12 A 60-year-old woman with severe obstructive sleep apnea
- Case 13 A 52-year-old man with valvular cardiomyopathy
- Case 14 An otherwise healthy 40-year-old man with potential obstructive sleep apnea
- Case 15 A 32-year-old man with observed severe snoring and leg shaking during sleep
- Case 16 A 20-year-old woman with extreme sleepiness who reports hypnic hallucinations, sleep paralysis, and sudden loss of muscle tone when startled
- Case 17 A 67-year-old man with chronic sleep-onset and maintenance insomnia, as well as episodes of talking and walking in his sleep
- Case 18 A 77-year-old woman with sudden episodes of loss of consciousness
- Case 19 A 32-year-old woman with frequent nocturnal episodes of sudden arousal and short chaotic movements
- Case 20 A 70-year-old woman with a history of hypertension and paroxysmal atrial fibrillation
- Case 21 A 74-year-old man with known cardiac disease and an automated implantable cardioverter–defibrillator
- Case 22 A 60-year-old man with known coronary artery disease
- Case 23 A 38-year-old man with “restlessness” at night prior to sleep onset
- Case 24 A 50-year-old previously healthy man with obstructive sleep apnea and a recent history of palpitations
- Case 25 A 53-year-old man with a history of loud snoring and daytime sleepiness
- Case 26 A 27-year-old man with a 10 year history of insomnia
- Case 27 A patient’s sleeping habits shown in an actigraph
- Case 28 A patient with a possible sleep-related breathing disorder
- Case 29 A 4-month-old boy with a history of prematurity, gastroesophageal reflux, and observed pauses in breathing during sleep
- Case 30 A 7-day-old female with Pierre–Robin sequence and micrognathia
- Case 31 A 3-year-old girl with a history of static encephalopathy and severe obstructive sleep apnea
- Case 32 A 63-year-old woman with non-apneic oxyhemoglobin desaturation
- Case 33 A 24-year-old woman with a history of anxiety, asthma, and daytime sleepiness
- Case 34 A 43-year-old Chinese man with a history of obesity, difficult-to-control hypertension, and proteinuria, with daytime sleepiness and snoring
- Case 35 A 57-year-old man with a history of mild dyslipidemia who had a cerebrovascular accident several months earlier
- Case 36 A 29-year-old man who is mildly overweight, with a history of depression and attention deficit hyperactivity disorder, with difficulty falling asleep and daytime sleepiness
- Case 37 Findings in a polysomnogram
- Case 38 A 29-year-old man assessed for a diagnosis of narcolepsy
- Case 39 A 24-year-old man with symptoms of excessive daytime sleepiness
- Case 40 A 43-year-old obese man with a history of snoring
- Case 41 A maintenance of wakefulness test
- Case 42 Assessment of a sleep stage
- Case 43 Analysis of a precordial electrocardiogram finding
- Case 44 Linkage of episodes of gastroesophageal reflux with polysomnogram epochs
- Case 45 Polysomnography findings in fibromyalgia
- Case 46 A 45-year-old man presents with newly diagnosed hypertension and symptoms of snoring
- Case 47 A 10-year-old child with central congenital hypoventilation syndrome
- Case 48 A 9-year-old child with asthma, skeletal dysplasia, restrictive lung disease, and obstructive sleep apnea
- Case 49 A 21-year-old man with a history of daytime sleepiness
- Case 50 A 58-year-old woman taking fentanyl and tramadol, with witnessed pauses in breathing
- Case 51 A 37-year-old woman with bipolar disorder and a recent head injury
- Case 52 A 12-year-old boy with a history of refractory seizures
- Case 53 An 8-year-old boy with snoring and poor sleep
- Case 54 A 30-week premature infant with snoring and poor sleep at 17 months of age
- Case 55 A 75-year-old man with a history of excessive daytime sleepiness and generalized body “weakness” with excitement, surprise, and anger
- Case 56 An 18-year-old woman with a 2 year history of being a “late sleeper”
- Case 57 An otherwise healthy 9-year-old boy who falls asleep in school
- Case 58 A 35-year-old woman who is 6 months pregnant and has a history of snoring with pauses in breathing
- Case 59 A 22-year-old graduate student with daytime tiredness
- Case 60 Interpretation of traces from polysomnography
- Case 61 An adult being assessed for obstructive sleep apnea
- Case 62 A 22-year-old woman with a 2 year history of motor activity during sleep that is increasing in frequency
- Case 63 A 43-year-old woman with a 2 year history of unusual motor activity during sleep
- Case 64 A 28-year-old man with spells of nonsensical speech and clumsy motor activity at night
- Case 65 A 5-year-old child who frequently shakes and cries in her sleep
- Case 66 A 45-year-old man with a history of gastroesophageal reflux disease taking methadone who has snoring, witnessed apnea, and excessive daytime sleepiness
- Case 67 A 49-year-old man with possible sleep apnea
- Case 68 A 25-year-old morbidly obese man with loud snoring and excessive daytime sleepiness
- Case 69 A 55-year-old man with snoring and excessive daytime sleepiness
- Case 70 A 61-year-old woman with loud snoring and daytime sleepiness
- Case 71 A 50-year-old woman with a complaint of daytime sleepiness
- Case 72 A 50-year-old obese man with a history of left ventricular failure and witnessed apnea
- Case 73 A 34-year-old man with snoring and excessive sleepiness
- Case 74 A 55-year-old man with a T11 spinal cord injury and paraplegia in association with metastatic disease, complaining of daytime sleepiness
- Case 75 A 62-year-old woman with potential obstructive sleep apnea
- Case 76 A 64-year-old morbidly obese man with severe chronic obstructive pulmonary disease and severe obstructive sleep apnea
- Case 77 A 30-year-old woman with a diagnosis of moderate obstructive sleep apnea
- Case 78 A 75-year-old man with difficulties in initiating sleep and fragmented restless sleep
- Case 79 A 4-year-old girl with mild developmental delay and a history of confusion and abnormal night-time movements of her extremities
- Case 80 A 30-year-old woman with several years of making noises at night and feeling tired
- Case 81 A 35-year-old man with excessive movement of his legs during sleep
- Case 82 A 16-year-old girl with episodes of yelling, crying, and laughing during sleep
- Case 83 A 25-year-old woman who bites her tongue during sleep
- Case 84 A 70-year-old man with abnormal night-time behavior, resulting in falls from the bed
- Case 85 A 6-year-old girl with enlarged tonsils and adenoids and a history of snoring and gasping at night
- Case 86 A 12-year-old boy with excessive daytime sleepiness
- Case 87 A 62-year-old man with congestive heart failure undergoing continuous positive airway pressure titration for obstructive sleep apnea
- Case 88 A 54-year-old morbidly obese man with a history of congestive heart failure complaining of loud snoring, excessive daytime sleepiness, fatigue, and nocturia
- Case 89 A 53-year-old man with history of central sleep apnea and congestive heart failure
- Case 90 A 33-year-old man with obesity-hypoventilation syndrome
- Case 91 A 62-year-old man with chronic obstructive pulmonary disease and obstructive sleep apnea
- Case 92 A 56-year-old woman who smokes and is obese
- Case 93 A 76-year-old man with exertional dyspnea, orthopnea and excessive daytime sleepiness
- Case 94 A 63-year-old man with snoring, witnessed apnea, fragmented nocturnal sleep, and daytime sleepiness
- Case 95 A 60-year-old woman with a history of moderate snoring and witnessed pauses in breathing plus long-term insomnia
- Case 96 A 55-year-old woman with daytime fatigue and unrefreshing sleep of several years’ duration
- Case 97 An 8-year-old child with profound developmental delay and intractable seizures being treated with antiepileptic medications and an implanted vagal nerve stimulator
- Case 98 A 9-year-old girl with a history of snoring, gasping, and chronic mouth breathing
- Case 99 A 42-year-old obese man with worsening snoring and excessive daytime sleepiness
- Case 100 A 67-year-old man with class III heart failure
- Case 101 A 62-year-old obese man with hypertension, diastolic dysfunction, mild aortic stenosis, and paroxysmal atrial fibrillation
- Case 102 A 45-year-old man with a history of snoring, morning headaches, and excessive daytime somnolence
- Case 103 A morbidly obese 3-year-old boy with a history of loud snoring and witnessed apneic episodes
- Case 104 A 59-year-old man with a history of coronary artery disease and excessive daytime somnolence
- Case 105 An 18-year-old woman treated for narcolepsy with cataplexy
- Case 106 A 20-year-old man with a history of inappropriate night-time behavior
- Case 107 An otherwise healthy college student with an isolated incident of abnormal nocturnal behavior
- Case 108 A 52-year-old man with amyotrophic lateral sclerosis, excessive sleepiness, and early morning headache
- Case 109 A 54-year-old smoker with chronic obstructive lung disease and a history of snoring, waking up gasping for air, excessive daytime sleepiness, and early morning headaches
- Case 110 A 71-year-old woman with a 10 year history of severe obstructive sleep apnea and obesity-hypoventilation syndrome, now with increased daytime sleepiness
- Case 111 A 20-year-old man with morning headache, excessive daytime sleepiness, heavy snoring, and apnea during sleep
- Case 1 Case answers
- Case 2
- Case 3
- Case 4
- Case 5
- Case 6
- Case 7
- Case 8
- Case 9
- Case 10
- Case 11
- Case 12
- Case 13
- Case 14
- Case 15
- Case 16
- Case 17
- Case 18
- Case 19
- Case 20
- Case 21
- Case 22
- Case 23
- Case 24
- Case 25
- Case 26
- Case 27
- Case 28
- Case 29
- Case 30
- Case 31
- Case 32
- Case 33
- Case 34
- Case 35
- Case 36
- Case 37
- Case 38
- Case 39
- Case 40
- Case 41
- Case 42
- Case 43
- Case 44
- Case 45
- Case 46
- Case 47
- Case 48
- Case 49
- Case 50
- Case 51
- Case 52
- Case 53
- Case 54
- Case 55
- Case 56
- Case 57
- Case 58
- Case 59
- Case 60
- Case 61
- Case 62
- Case 63
- Case 64
- Case 65
- Case 66
- Case 67
- Case 68
- Case 69
- Case 70
- Case 71
- Case 72
- Case 73
- Case 74
- Case 75
- Case 76
- Case 77
- Case 78
- Case 79
- Case 80
- Case 81
- Case 82
- Case 83
- Case 84
- Case 85
- Case 86
- Case 87
- Case 88
- Case 89
- Case 90
- Case 91
- Case 92
- Case 93
- Case 94
- Case 95
- Case 96
- Case 97
- Case 98
- Case 99
- Case 100
- Case 101
- Case 102
- Case 103
- Case 104
- Case 105
- Case 106
- Case 107
- Case 108
- Case 109
- Case 110
- Case 111
- Index
Case 16
Published online by Cambridge University Press: 05 August 2015
Edited by
Book contents
- Case Studies in Polysomnography Interpretation
- Case Studies in Polysomnography Interpretation
- Copyright page
- Contents
- Contributors
- Preface
- Abbreviations
- Case 1 A 74-year-old man with severe ischemic cardiomyopathy and atrial fibrillation
- Case 2 A 65-year-old man with amyotrophic lateral sclerosis
- Case 3 An 80-year-old man with severe heart failure and witnessed apnea awake and during sleep
- Case 4 A 33-year-old man with a history of interstitial pulmonary fibrosis and obesity
- Case 5 A 52-year-old man being treated for sleep-related hypoventilation
- Case 6 An 81-year-old obese woman with a history of snoring
- Case 7 A 33-year-old obese man with idiopathic pulmonary fibrosis and snoring
- Case 8 A 57-year-old woman with moderate obstructive sleep apnea
- Case 9 A 57-year-old woman with potential obstructive sleep apnea
- Case 10 An 80-year-old man with heart failure and previously documented Cheyne–Stokes breathing
- Case 11 A 46-year-old obese man with loud snoring, witnessed apnea, and daytime sleepiness
- Case 12 A 60-year-old woman with severe obstructive sleep apnea
- Case 13 A 52-year-old man with valvular cardiomyopathy
- Case 14 An otherwise healthy 40-year-old man with potential obstructive sleep apnea
- Case 15 A 32-year-old man with observed severe snoring and leg shaking during sleep
- Case 16 A 20-year-old woman with extreme sleepiness who reports hypnic hallucinations, sleep paralysis, and sudden loss of muscle tone when startled
- Case 17 A 67-year-old man with chronic sleep-onset and maintenance insomnia, as well as episodes of talking and walking in his sleep
- Case 18 A 77-year-old woman with sudden episodes of loss of consciousness
- Case 19 A 32-year-old woman with frequent nocturnal episodes of sudden arousal and short chaotic movements
- Case 20 A 70-year-old woman with a history of hypertension and paroxysmal atrial fibrillation
- Case 21 A 74-year-old man with known cardiac disease and an automated implantable cardioverter–defibrillator
- Case 22 A 60-year-old man with known coronary artery disease
- Case 23 A 38-year-old man with “restlessness” at night prior to sleep onset
- Case 24 A 50-year-old previously healthy man with obstructive sleep apnea and a recent history of palpitations
- Case 25 A 53-year-old man with a history of loud snoring and daytime sleepiness
- Case 26 A 27-year-old man with a 10 year history of insomnia
- Case 27 A patient’s sleeping habits shown in an actigraph
- Case 28 A patient with a possible sleep-related breathing disorder
- Case 29 A 4-month-old boy with a history of prematurity, gastroesophageal reflux, and observed pauses in breathing during sleep
- Case 30 A 7-day-old female with Pierre–Robin sequence and micrognathia
- Case 31 A 3-year-old girl with a history of static encephalopathy and severe obstructive sleep apnea
- Case 32 A 63-year-old woman with non-apneic oxyhemoglobin desaturation
- Case 33 A 24-year-old woman with a history of anxiety, asthma, and daytime sleepiness
- Case 34 A 43-year-old Chinese man with a history of obesity, difficult-to-control hypertension, and proteinuria, with daytime sleepiness and snoring
- Case 35 A 57-year-old man with a history of mild dyslipidemia who had a cerebrovascular accident several months earlier
- Case 36 A 29-year-old man who is mildly overweight, with a history of depression and attention deficit hyperactivity disorder, with difficulty falling asleep and daytime sleepiness
- Case 37 Findings in a polysomnogram
- Case 38 A 29-year-old man assessed for a diagnosis of narcolepsy
- Case 39 A 24-year-old man with symptoms of excessive daytime sleepiness
- Case 40 A 43-year-old obese man with a history of snoring
- Case 41 A maintenance of wakefulness test
- Case 42 Assessment of a sleep stage
- Case 43 Analysis of a precordial electrocardiogram finding
- Case 44 Linkage of episodes of gastroesophageal reflux with polysomnogram epochs
- Case 45 Polysomnography findings in fibromyalgia
- Case 46 A 45-year-old man presents with newly diagnosed hypertension and symptoms of snoring
- Case 47 A 10-year-old child with central congenital hypoventilation syndrome
- Case 48 A 9-year-old child with asthma, skeletal dysplasia, restrictive lung disease, and obstructive sleep apnea
- Case 49 A 21-year-old man with a history of daytime sleepiness
- Case 50 A 58-year-old woman taking fentanyl and tramadol, with witnessed pauses in breathing
- Case 51 A 37-year-old woman with bipolar disorder and a recent head injury
- Case 52 A 12-year-old boy with a history of refractory seizures
- Case 53 An 8-year-old boy with snoring and poor sleep
- Case 54 A 30-week premature infant with snoring and poor sleep at 17 months of age
- Case 55 A 75-year-old man with a history of excessive daytime sleepiness and generalized body “weakness” with excitement, surprise, and anger
- Case 56 An 18-year-old woman with a 2 year history of being a “late sleeper”
- Case 57 An otherwise healthy 9-year-old boy who falls asleep in school
- Case 58 A 35-year-old woman who is 6 months pregnant and has a history of snoring with pauses in breathing
- Case 59 A 22-year-old graduate student with daytime tiredness
- Case 60 Interpretation of traces from polysomnography
- Case 61 An adult being assessed for obstructive sleep apnea
- Case 62 A 22-year-old woman with a 2 year history of motor activity during sleep that is increasing in frequency
- Case 63 A 43-year-old woman with a 2 year history of unusual motor activity during sleep
- Case 64 A 28-year-old man with spells of nonsensical speech and clumsy motor activity at night
- Case 65 A 5-year-old child who frequently shakes and cries in her sleep
- Case 66 A 45-year-old man with a history of gastroesophageal reflux disease taking methadone who has snoring, witnessed apnea, and excessive daytime sleepiness
- Case 67 A 49-year-old man with possible sleep apnea
- Case 68 A 25-year-old morbidly obese man with loud snoring and excessive daytime sleepiness
- Case 69 A 55-year-old man with snoring and excessive daytime sleepiness
- Case 70 A 61-year-old woman with loud snoring and daytime sleepiness
- Case 71 A 50-year-old woman with a complaint of daytime sleepiness
- Case 72 A 50-year-old obese man with a history of left ventricular failure and witnessed apnea
- Case 73 A 34-year-old man with snoring and excessive sleepiness
- Case 74 A 55-year-old man with a T11 spinal cord injury and paraplegia in association with metastatic disease, complaining of daytime sleepiness
- Case 75 A 62-year-old woman with potential obstructive sleep apnea
- Case 76 A 64-year-old morbidly obese man with severe chronic obstructive pulmonary disease and severe obstructive sleep apnea
- Case 77 A 30-year-old woman with a diagnosis of moderate obstructive sleep apnea
- Case 78 A 75-year-old man with difficulties in initiating sleep and fragmented restless sleep
- Case 79 A 4-year-old girl with mild developmental delay and a history of confusion and abnormal night-time movements of her extremities
- Case 80 A 30-year-old woman with several years of making noises at night and feeling tired
- Case 81 A 35-year-old man with excessive movement of his legs during sleep
- Case 82 A 16-year-old girl with episodes of yelling, crying, and laughing during sleep
- Case 83 A 25-year-old woman who bites her tongue during sleep
- Case 84 A 70-year-old man with abnormal night-time behavior, resulting in falls from the bed
- Case 85 A 6-year-old girl with enlarged tonsils and adenoids and a history of snoring and gasping at night
- Case 86 A 12-year-old boy with excessive daytime sleepiness
- Case 87 A 62-year-old man with congestive heart failure undergoing continuous positive airway pressure titration for obstructive sleep apnea
- Case 88 A 54-year-old morbidly obese man with a history of congestive heart failure complaining of loud snoring, excessive daytime sleepiness, fatigue, and nocturia
- Case 89 A 53-year-old man with history of central sleep apnea and congestive heart failure
- Case 90 A 33-year-old man with obesity-hypoventilation syndrome
- Case 91 A 62-year-old man with chronic obstructive pulmonary disease and obstructive sleep apnea
- Case 92 A 56-year-old woman who smokes and is obese
- Case 93 A 76-year-old man with exertional dyspnea, orthopnea and excessive daytime sleepiness
- Case 94 A 63-year-old man with snoring, witnessed apnea, fragmented nocturnal sleep, and daytime sleepiness
- Case 95 A 60-year-old woman with a history of moderate snoring and witnessed pauses in breathing plus long-term insomnia
- Case 96 A 55-year-old woman with daytime fatigue and unrefreshing sleep of several years’ duration
- Case 97 An 8-year-old child with profound developmental delay and intractable seizures being treated with antiepileptic medications and an implanted vagal nerve stimulator
- Case 98 A 9-year-old girl with a history of snoring, gasping, and chronic mouth breathing
- Case 99 A 42-year-old obese man with worsening snoring and excessive daytime sleepiness
- Case 100 A 67-year-old man with class III heart failure
- Case 101 A 62-year-old obese man with hypertension, diastolic dysfunction, mild aortic stenosis, and paroxysmal atrial fibrillation
- Case 102 A 45-year-old man with a history of snoring, morning headaches, and excessive daytime somnolence
- Case 103 A morbidly obese 3-year-old boy with a history of loud snoring and witnessed apneic episodes
- Case 104 A 59-year-old man with a history of coronary artery disease and excessive daytime somnolence
- Case 105 An 18-year-old woman treated for narcolepsy with cataplexy
- Case 106 A 20-year-old man with a history of inappropriate night-time behavior
- Case 107 An otherwise healthy college student with an isolated incident of abnormal nocturnal behavior
- Case 108 A 52-year-old man with amyotrophic lateral sclerosis, excessive sleepiness, and early morning headache
- Case 109 A 54-year-old smoker with chronic obstructive lung disease and a history of snoring, waking up gasping for air, excessive daytime sleepiness, and early morning headaches
- Case 110 A 71-year-old woman with a 10 year history of severe obstructive sleep apnea and obesity-hypoventilation syndrome, now with increased daytime sleepiness
- Case 111 A 20-year-old man with morning headache, excessive daytime sleepiness, heavy snoring, and apnea during sleep
- Case 1 Case answers
- Case 2
- Case 3
- Case 4
- Case 5
- Case 6
- Case 7
- Case 8
- Case 9
- Case 10
- Case 11
- Case 12
- Case 13
- Case 14
- Case 15
- Case 16
- Case 17
- Case 18
- Case 19
- Case 20
- Case 21
- Case 22
- Case 23
- Case 24
- Case 25
- Case 26
- Case 27
- Case 28
- Case 29
- Case 30
- Case 31
- Case 32
- Case 33
- Case 34
- Case 35
- Case 36
- Case 37
- Case 38
- Case 39
- Case 40
- Case 41
- Case 42
- Case 43
- Case 44
- Case 45
- Case 46
- Case 47
- Case 48
- Case 49
- Case 50
- Case 51
- Case 52
- Case 53
- Case 54
- Case 55
- Case 56
- Case 57
- Case 58
- Case 59
- Case 60
- Case 61
- Case 62
- Case 63
- Case 64
- Case 65
- Case 66
- Case 67
- Case 68
- Case 69
- Case 70
- Case 71
- Case 72
- Case 73
- Case 74
- Case 75
- Case 76
- Case 77
- Case 78
- Case 79
- Case 80
- Case 81
- Case 82
- Case 83
- Case 84
- Case 85
- Case 86
- Case 87
- Case 88
- Case 89
- Case 90
- Case 91
- Case 92
- Case 93
- Case 94
- Case 95
- Case 96
- Case 97
- Case 98
- Case 99
- Case 100
- Case 101
- Case 102
- Case 103
- Case 104
- Case 105
- Case 106
- Case 107
- Case 108
- Case 109
- Case 110
- Case 111
- Index
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- Publisher: Cambridge University PressPrint publication year: 2012