This book presents 50 of the most interesting and challenging sleep medicine clinical cases encountered by leaders in the field. The cases encompass the full spectrum of sleep medicine, with topics covering neurology, pulmonology, psychiatry, psychology, ENT, and beyond. In addition, adults and pediatric cases will be covered.
Chapters that feature cases follow a similar format. A brief clinical history, is followed by physical examination, investigations/studies, differential diagnosis, discussion and management, and final or possible diagnosis. These cases are open to discussion and include teaching points.
50 Challenging Sleep Medicine Cases will intrigue residents interested in sleep medicine, sleep medicine fellows and professionals interested in case review for certification exams and to discuss unusual cases, as well as neurologists, psychiatrists, psychologists, neuropsychologists.
Author(s): Alcibiades J. Rodriguez
Edition: 1
Publisher: Springer
Year: 2023
Language: English
Tags: Sleep Medicine; Neurology; Psychiatry; Pneumology
Foreword
Preface
Acknowledgments
Contents
Contributors
1: Case 1. The Borderlands of Sleep-Wake Movements and Epilepsy
History
Examination
Investigations
Diagnosis
Discussion
References
2: Case 2. Sometimes Lightheadedness a Harbinger
History
Examination
Investigations
Differential Diagnosis
Discussion and Management
Final Diagnosis
References
3: Case 3. Testosterone and Gender: Not What You Think
History
Examination
Investigations
Diagnosis
Discussion and Management
References
4: Case 4. “Despite of CPAP Therapy, My Husband Still Has a Disturbed Nocturnal Sleep”
History
Examination
Investigations/Studies
Differential Diagnosis
Discussion and Management
Final Diagnosis
References
5: Case 5. Multiple Causes for Sleepiness
History
Examination
Investigations/Studies
Differential Diagnosis
Discussion and Management
Final Diagnosis or Most Likely Diagnosis
Reference
6: Case 6. COVID-19, Breathing and Insomnia: There Is More Than One Story
History
Physical Examination
Investigations
Diagnosis
Discussion
References
7: Case 7. Waking Up the Household
History
Examination
Investigations
Differential Diagnosis
Discussion and Management
Final Diagnosis
References
8: Case 8. “Explosion in My Head is Waking Me Up”
History
Examination
Investigations
Diagnosis
Discussion
References
9: Case 9. A Case of Opposites?
History
Examination
Investigations/Studies
Differential Diagnosis
Discussion and Management
Investigations/Studies (Following Resolution of Insomnia)
Final Diagnosis
References
10: Case 10. Mom Knows Best: No So Transient
History
Examination
Investigations
Diagnosis
Discussion
References
11: Case 11. Two Faces of the Medallion
History
Examination
Investigations/Studies
Differential Diagnosis
Discussion and Management
Final Diagnosis or Most Likely Diagnosis
References
12: Case 12. Watchful Waiting
History
Examination
Investigations
Final Diagnosis
Discussion
References
13: Case 13. Measure Twice, Cut Once … or Not at All …
History
Examination
Diagnostic Studies
Differential Diagnosis
Discussion and Management
References
14: Case 14. Snoring Vividly
History
Examination
Investigations
Differential Diagnosis
Discussion and Management
Final Diagnosis
References
15: Case 15. Central Sleep Apnea and Worsening Headaches
History
Physical Examination
Investigations
Differential Diagnosis
Discussion and Management
Final Diagnosis
References
16: Case 16. “I Am Scared I Will Die from Sleeplessness”
History
Examination
Investigations
Diagnosis
Discussion
Reference
17: Case 17. Difficulty Breathing, Difficulty Functioning
History
Examination
Investigations/Studies
Differential Diagnosis
Discussion and Management
Final Diagnosis or Most Likely Diagnosis
Reference
18: Case 18. “MAD That Stops Breathing”
History
Examination
Investigations/Studies
Differential Diagnosis
Discussion and Management
Final Diagnosis or Most Likely Diagnosis
References
19: Case 19. Two for One Isn’t Always Better: When Is a Dual Diagnosis Problematic?
History
Examination
Investigations/Studies
Differential Diagnosis
Discussion and Management
Final Diagnosis
References
20: Case 20. The Mysterious Mustache
History
Examination
Investigations/Studies
Differential Diagnosis
Discussion and Management
Most Likely Diagnosis
References
21: Case 21. Is There a Link Between Insomnia and Diet?
History
Examination
Investigation
Diagnosis
Management
Discussion
References
22: Case 22. Not Your Typical Sleepy Adolescent
History
Examination (Between Attacks)
Investigations
Differential Diagnosis
Final Diagnosis
Discussion
References
23: Case 23. Sleep Trauma
History
Examination
Investigations
Discussion
Diagnoses
References
24: Case 24. Getting to the Heart of the Matter
History
Examination
Investigations
Diagnosis
Discussion
Reference
25: Case 25. Movements Come in Different Ways
History
Physical Examination
Investigations
Differential Diagnosis
Discussion and Management
Final Diagnosis
References
26: Case 26. Sometimes Sleep Hygiene Is Not Just Sleep Hygiene
History
Examination
Investigations/Studies
Differential Diagnosis
Discussion and Management
Explore Patient’s Understanding/Beliefs About Their Symptoms, Precipitating Factors, Triggers, Management/Treatment Strategies and Outcomes
Sleep Psychoeducation
Setting the Stage for Behavior Change
Treatment Plan and Response
Outcomes
Final Diagnosis
References
27: Case 27. Storage Wars
History
Examination
Investigations/Studies
Management
Discussion
Final Diagnosis
Reference
28: Case 28. Sleeping Up an Appetite
History
Examination
Investigations
Differential Diagnosis
Discussion and Management
Final Diagnosis
References
29: Case 29. Not All Sleep Studies Are the Same, Timing and Teaming Are Essential
History
Examination
Investigations
Diagnosis
Discussion
Conclusion
References
30: Case 30. Cyclical Insomnia and Hypersomnia
History
Examination
Investigations
Diagnosis
Discussion
Reference
31: Case 31. Restless Pelvis
History
Examination
Investigations/Studies
Differential Diagnosis
Discussion and Management
Final Diagnosis or Most Likely Diagnosis
Reference
32: Case 32. A Young Child with Sleep Onset Insomnia and “Weird” Feelings on His Legs
History
Examination
Investigation/Studies
Differential Diagnosis
Discussion and Management
Final Diagnosis
References
33: Case 33. Hallucinations May Be the Clue
History
Examination
Investigations and Follow-Up
Differential Diagnosis
References
34: Case 34. Hard to Diagnose, Hard to Treat
History
Examination
Investigations/Studies
Differential Diagnosis
Discussion and Management
Reference
35: Case 35. High Pressure Situation
History
Examination
Investigations/Studies
Differential Diagnosis
Discussion and Management
Final Diagnosis
Reference
36: Case 36. A Cerebral Change in Eating Behavior
History
Examination
Investigations
Diagnosis
Discussion
Reference
37: Case 37. “I’m Not Schizophrenic!” Is It Catalepsy or Cataplexy?
History
Examination
Investigations/Studies
Differential Diagnosis
Discussion and Management
Final Diagnosis
Reference
38: Case 38. A Sleepy Patient with “Epileptic Seizures” and Disturbed Night Sleep
History
Physical Examination
Investigations/Studies
Differential Diagnosis
Discussion and Management
Final Diagnosis
References
39: Case 39. Behind the Sleepiness
History
Examination
Investigations/Studies
Differential Diagnosis
Final Diagnosis
Discussion and Management
References
40: Case 40. All Stress No Rest
History
Examination
Investigations
Differential Diagnosis
Discussion and Management
Final Diagnosis
Reference
41: Case 41. Night Terrors Are Not Always What They Seem
History
Examination
Investigations/Studies
Differential Diagnosis
Discussion and Management
Final Diagnosis
References
42: Case 42. Asleep or Not Asleep, That Is the Question
History
Examination
Investigations/Studies
Differential Diagnosis
Discussion and Management
Final Diagnosis
References
43: Case 43. “Somebody Is Standing by My Bed When I Am Falling Asleep”…
History
Examination
Investigations
Diagnosis
Discussion
Reference
44: Case 44. Timing Is Everything
History
Examination
Investigations
Discussion and Management
Final Diagnosis
References
45: Case 45. Lullaby and Goodnight Say Goodbye to These Spikes…
History
Examination
Investigations/Studies
Differential Diagnosis
Discussion and Management
Final Diagnosis or Most Likely Diagnosis
References
46: Case 46. Breathing Is Not the Complete Story
History
Examination
Investigations
Differential Diagnosis
Discussion and Management
Final Diagnosis
References
47: Case 47. Rapidly Worsening Obstructive Sleep Apnea
History
Examination
Investigations
Differential Diagnosis
Discussion and Management
Final Diagnosis
Reference
48: Case 48. Unusual Cause of Worsening AHI on CPAP Download
History
Examination
Investigations
Differential Diagnosis
Discussion and Management
Final Diagnosis
References
49: Case 49. The Therapeutic Labyrinth of Multimorbidity
History
Examination
Investigations
Differential Diagnosis
Discussion and Management
Final Diagnosis or most Likely Diagnosis
References
50: Case 50. My Legs Move When I Lie Down
History
Examination
Investigations/Studies
Differential Diagnosis
Discussion and Management
Final Diagnosis or Most Likely Diagnosis
Reference
51: Case 51 (Bonus Case). Sleepless Could Be Fatal
History
Examination
Investigations/Studies
Differential Diagnosis
Discussion and Management
Final Diagnosis or most Likely Diagnosis
References
Index
