Culebras: Case Studies in Sleep Neurology: Common & Uncommon Presentations

Sleep is the only free voluptuosity given to humans by Nature. Sleep is as necessary as food or drink. When sleep fails, many other biological functions suffer. Sleep is a function of the brain and the neurology of sleep its corollary. And yet, so numerous are the ramifications and so extensive the reach of sleep and its disorders, that sleep medicine remains a multidisciplinary body at the center of which lies sleep apnea, a pervasive disease that has emerged as a public health problem, as have sleep deprivation, excessive daytime sleepiness and fatigue. In the end, however, the neurology of sleep will prevail as the core discipline underlying sleep functions and dysfunctions, the study of which in the hotbed of the brain will lead to a better understanding of their nature.

With great excitement and enthusiasm, we present this book featuring case studies in sleep neurology. The book presents a series of clinical situations representative of problems that challenge the clinical-solving abilities of practitioners in the neurology of sleep, also known as neurosomnology. The book focuses attention on the major categories of sleep medicine including insomnia, hypersomnias, sleep-breathing disorders, parasomnias and circadian dysrhythmias with emphasis on the neurology of sleep. Both usual and unusual cases are presented with the aim of creating a teaching tool that stimulates the thinking process in sleep neurology along established lines of practice. Each case is introduced with an allusive title, followed by a clinical history, an examination and special studies. This sets the stage for the question asking the diagnosis, treatment or management of the case. The follow-up section states the clinical diagnosis and describes the proper clinical actions to be taken based on the results of tests, with a discussion of the differential diagnosis where appropriate. Each presentation ends with general remarks based on current knowledge and standards of practice. A section entitled “Pearls and gold” summarizes the teaching, take-home points. The bibliography introduces the reader to one or two historical references, where available, followed by a recommended review article, and in all cases to five to ten specific citations. Illustrations have been added where appropriate.

The result is a book containing 40 case histories that provoke and educate clinicians at all stages in their careers. The book is intended to be a didactic tool that dares clinical skills, stimulates memory and provides orientation for additional reading. The target audience is sleep medicine specialists and neurologists. Physicians in training in the discipline of sleep and physicians interested in the knowledge of clinical sleep medicine, with particular curiosity for neurological situations, will find the book singularly readable and useful. The authors are skilled clinicians and seasoned writers with academic titles and vast experience in sleep medicine. As constituents of an international elite in sleep neurology, many are part of that first generation of sleep specialists that has enjoyed the privilege and been granted the unique opportunity of describing new disorders and novel clinical conditions of sleep, contained here in.

  • Foreword page
  • List of contributors
  • List of abbreviations
  • Introduction
Part I Sleep-related breathing disorders
  • Case 1 Opioid-induced central sleep apnea
  • Case 2 Fourteen-year-old with sleep-disordered breathing and excessive daytime sleepiness
  • Case 3 A harsh noise in the night
  • Case 4 An infant with obstructed breathing
Part II Hypersomnias of central origin
  • Case 5 My child falls at school
  • Case 6 A sleepy-head
  • Case 7 A roller-coaster of neurological diagnoses
Part III Circadian rhythm disorders
  • Case 8 A shift worker falls repeatedly
Part IV Parasomnias
A. REM-sleep-associated parasomnias
  • Case 9 Extreme dreams
  • Case 10 Odd sleep-related behaviors
  • Case 11 Paralyzed and unable to breathe
  • Case 12 Nightmares and numbness in the right arm
  • Case 13 Screaming at night
  • Case 14 Violent sleep behavior resulting in subdural hemorrhage
B. Arousal disorders
  • Case 15 Amnestic nocturnal behavior
  • Case 16 A terrified and terrifying scream
  • Case 17 Frequent night-time wanderings
  • Case 18 An adult sleepwalker who was sleep deprived
C. Other parasomnias
  • Case 19 Seeking food in the night
  • Case 20 The case of the missing loaf of bread
  • Case 21 Gaining weight while asleep
  • Case 22 Vivid images in the bedroom
  • Case 23 Noisy breathing during sleep
  • Case 24 Sexsomnia and obstructive sleep apnea
Part V Sleep-related epilepsy
  • Case 25 The anxious hitting sleeper
  • Case 26 Bad dreams
  • Case 27 Sleepwalking or seizing?
  • Case 28 Seizure, parasomnia or behavioral disorder?
  • Case 29 Sounds of choking at night
  • Case 30 Fighting in sleep
Part VI Sleep and stroke
  • Case 31 Sleep and stroke
Part VII Sleep-related movement disorders
  • Case 32 Violent tongue biting recurring during sleep
  • Case 33 A child with behavioral problems and violent sleep behavior leading to trauma
  • Case 34 Clicking all night
  • Case 35 Repetitive arm movements
  • Case 36 Restlessness and jerking upon recumbency when trying to fall asleep
  • Case 37 Jumping and yelling while asleep
  • Case 38 A case of attention deficit
Part VIII Neuromuscular disorders and sleep
  • Case 39 Snoring and leg cramps
  • Case 40 “So tired I take naps in the morning”
Appendix: Epworth Sleepiness Scale

Product Details

  • Paperback: 318 pages
  • Publisher: Cambridge University Press; 1 edition (November 15, 2010)
  • Language: English
  • ISBN-10: 0521146488
  • ISBN-13: 978-0521146487
  • Product Dimensions: 9.7 x 6.8 x 0.7 inches
List Price: $75.00 


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