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Polysomnography and Sleep Disorders

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The Clinical Neurophysiology Primer

Abstract

The classification of sleep disorders is based both on clinical and neurophysiological criteria and is undergoing constant refinement. Sleep disorders can be caused by either a primary disorder of a mechanism controlling sleep or inadequate function of an end organ, such as the upper airways and lungs. Understanding the physiology and pattern of normal sleep is an important foundation for interpreting the clinical symptoms, signs, and neurophysiological abnormalities observed in patients with sleep disorders. The term polysomnography refers to the simultaneous recording of multiple sleep parameters, including a limited electroencephalogram, respiratory parameters, chest excursion, limb movements, and the electrocardiogram. Polysomnography is important for assessing a variety of sleep disturbances, including disorders such as sleep-related breathing disorders (including obstructive sleep apnea), rapid eye movement behavior disorder, and periodic movements of sleep. The multiple sleep latency test and maintenance of wakefulness test are studies that are especially useful in the evaluation of narcolepsy and other hypersomnias.

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References

  1. Loomis AL, Harvey EN, Hobart G. Cerebral states during sleep, as studied by human brain potentials. J Exp Psychol 1937;21: 127–144.

    Article  Google Scholar 

  2. Aserinsky E, Kleitman N. Regularly occurring periods of eye motility, and concomitant phenomena, during sleep. Science 1953;118: 273–274.

    Article  PubMed  CAS  Google Scholar 

  3. Dement W, Kleitman N. Cyclic variations in EEG during sleep and their relation to eye movements, body motility, and dreaming. Electroencephalogr Clin Neurophysiol Suppl 1957;9: 673–690.

    Article  CAS  Google Scholar 

  4. Rechtschaffen AKA. A Manual Standardized Terminology: Techniques and Scoring System for Sleep Stages of Human Subjects. Los Angeles: UCLA Brain Information Service/Brain Research Institute, 1968.

    Google Scholar 

  5. The International Classification of Sleep Disorders: Diagnostic & Coding Manual, ICSD-2. Westchester, IL: American Academy of Sleep Medicine, 2005.

    Google Scholar 

  6. Espana RA, Scammell TE. Sleep neurobiology for the clinician. Sleep 2004;27: 811–820.

    PubMed  Google Scholar 

  7. Kushida CA, Littner MR, et al. Practice parameters for the indications for polysomnography and related procedures: an update for 2005. Sleep 28(4): 499–521.

    Google Scholar 

  8. EEG arousals: scoring rules and examples: a preliminary report from the Sleep Disorders Atlas Task Force of the American Sleep Disorders Association. Sleep 1992;15: 173–184.

    Google Scholar 

  9. Meoli AL, Casey KR, Clark RW, et al. Hypopnea in sleep-disordered breathing in adults. Sleep 2001;24: 469–470.

    PubMed  CAS  Google Scholar 

  10. Recording the scoring leg movements. The Atlas Task Force. Sleep 1993; 16: 748–759.

    Google Scholar 

  11. Littner MR, Kushida C, Wise M, et al. Practice parameters for clinical use of the multiple sleep latency test and the maintenance of wakefulness test. Sleep 2005;28: 113–121.

    PubMed  Google Scholar 

  12. Arand D, Bonnet M, Hurwitz T, Mitler M, Rosa R, Sangal RB. The clinical use of the MSLT and MWT. Sleep 2005;28: 123–144.

    PubMed  Google Scholar 

  13. Aldrich MS, Chervin, RD, Malow BA. Value of the multiple sleep latency test (MSLT) for the diagnosis of narcolepsy. Sleep 1997;20: 620–629.

    PubMed  CAS  Google Scholar 

  14. Allen RP, Picchietti D, Hening WA, Tenkwalder C, Walters AS, Montplaisi J. Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology. A report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health. Sleep Med 2003;4: 101–119.

    Article  PubMed  Google Scholar 

  15. Kryger MH, Roth T, Dement WC. Principles and practice of sleep medicine. Philadelphia, PA: Elsevier/Saunders, 2005: xxxiii.

    Google Scholar 

  16. Williams RL, Karacan I, Hursch CJ. Electroencephalography (EEG) of human sleep: clinical applications. New York, Wiley, NY, 1974: xiv.

    Google Scholar 

  17. Kales A, Kales JD. Sleep disorders. Recent findings in the diagnosis and treatment of disturbed sleep. NEJM 1974;290: 487–499.

    PubMed  CAS  Google Scholar 

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© 2007 Humana Press Inc.

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Matheson, J.K., Singh, R., Packard, A. (2007). Polysomnography and Sleep Disorders. In: Blum, A.S., Rutkove, S.B. (eds) The Clinical Neurophysiology Primer. Humana Press. https://doi.org/10.1007/978-1-59745-271-7_23

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  • DOI: https://doi.org/10.1007/978-1-59745-271-7_23

  • Publisher Name: Humana Press

  • Print ISBN: 978-0-89603-996-4

  • Online ISBN: 978-1-59745-271-7

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