Sleep medicine has rapidly developed as a new subspecialty. Patients with sleep disorders are frequently among the most difficult to treat, and recent evidence indicates that sleep apnea can be a major underlying factor of cardiovascular disease. This handbook covers the whole area of sleep, from the history of sleep medicine to the pathophysiology of sleep disorders, effective treatment and long-term management of the problem. The Sleep Disorders Handbook has been written for those working in specialist clinics as well as GPs, internists and non-specialists. Enhanced by an entertaining selection of literary quotations on the subject, this text provides much needed support in this new area.
Author(s): Peretz Lavie, Giora Pillar, Atul Malhotra
Edition: 1
Year: 2002
Language: English
Pages: 192
Book Cover......Page 1
Half-Title......Page 2
Title......Page 3
Copyright......Page 4
Contents......Page 5
Preface......Page 6
chapter 1 History of sleep medicine......Page 8
Normal sleep......Page 9
Sleep needs and the function of sleep......Page 10
Sleep architecture......Page 12
REM sleep—characteristics and function......Page 13
Sleep-wake cycles......Page 15
Ontogenesis of sleep (changes with age)......Page 16
Sleep deprivation......Page 17
The neuromuscular system......Page 19
The autonomic nervous system......Page 20
The cardiovascular system......Page 21
Respiration......Page 22
The gastrointestinal system......Page 23
The endocrine system......Page 24
Cortisol......Page 25
Growth hormone......Page 27
Prolactin......Page 28
Gonadotrophins......Page 29
Others......Page 30
Definition and quantification (subjective and objective)......Page 31
Consequences (behavioural and functional)......Page 33
Sleep of an Obese Poulterer......Page 35
Definition and epidemiology......Page 36
Anatomy......Page 37
Obesity......Page 38
Sex......Page 39
Genetics......Page 40
Pathophysiology......Page 41
Neurocognitive effects......Page 42
Cardiovascular consequences......Page 43
Treatment......Page 45
Continuous positive airway pressure......Page 46
Oral appliances......Page 48
Pharmacological therapy......Page 49
OSA in children......Page 50
Diagnosis......Page 51
Epidemiology......Page 52
Nocturnal hypoventilation with waking hypercapnia (central alveolar hyperventilation syndrome, neuromuscular diseases, chronic lung diseases)......Page 53
Central alveolar hypoventilation syndrome......Page 54
High-altitude-associated respiratory cycling......Page 55
Cheyne-Stokes respiration......Page 56
Treatment......Page 57
Diagnosis......Page 61
Aetiology and risk factors......Page 62
Differential diagnosis......Page 63
Treatment......Page 64
Narcolepsy......Page 66
Idiopathic hypersomnia......Page 69
Recurrent hypersomnolence......Page 70
Post-traumatic hypersomnolence......Page 71
chapter 7 Hypersomnia: summary and patient approach......Page 73
Chronic fatigue syndrome......Page 75
chapter 8 Insomnia......Page 77
Short-long-term insomnia......Page 78
Psychophysiological insomnia......Page 79
Inadequate sleep hygiene......Page 80
Restless leg syndrome......Page 81
Insomnia associated with psychiatric disorders......Page 83
Insomnia associated with medical disorders......Page 84
Breathing disorders (asthma, apnoea, cystic fibrosis)......Page 85
Movement disorders (Parkinson’s disease, dystonia)......Page 86
Neurological disorders......Page 87
Circadian rhythm abnormalities (ASPS, DSPS, jet lag, shift work)......Page 88
Behavioural/sleep hygiene, relaxation techniques, exercise......Page 89
Benzodiazepines......Page 90
Non-benzodiazepine receptor agonists......Page 91
Insomnia: summary and patient approach......Page 92
Disorders of arousal......Page 94
Sleep walking......Page 95
Sleep terrors......Page 97
Sleep starts and sleep talking......Page 98
Parasomnias associated with REM sleep......Page 99
Sleep paralysis......Page 100
REM sleep behavioural disorder......Page 101
Impaired/painful nocturnal erections......Page 102
Bruxism......Page 103
Enuresis......Page 104
Appendix International classification of sleep disorders......Page 106
Sleep, general......Page 109
Sleep apnoea......Page 110
Narcolepsy......Page 111
Insomnia......Page 112
Scientific journals......Page 113
Index......Page 114
