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This comprehensive atlas of tracings of polysomnographic studies covers the technical aspects of conducting studies, and includes the features of the various adult and pediatric sleep disorders. By Sudhansu Chokroverty, MD, FRCP, FACP, Professor of Neurology, New York Medical College, Valhalla; Clinical Professor of Neurology, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway, NJ; Associate Chairman of Neurology, Chairman of Neurophysiology, and Director, Center of Sleep Medicine, Saint Vincents Hospital and Medical Center, NY and Robert J. Thomas, MD, MMSc, Instructor in Medicine, Harvard Medical School; Department of Pulmonary, Critical Care and Sleep Medicine, Beth Israel Deaconess Medical Center, Boston, MA Table of Contents: TECHNICAL ASPECTS 1. Polysomnograhic Study (PSG) 2. Multiple Sleep Latency Test (MSLT) 3. Maintenance of Wakefulness Test (MWT) 4. Actigraphy 5. Video-PSG 6. Specialized Techniques 7. Computerized Recordings 8. Artifacts 9. Pitfalls of The Various Techniques 10. Electroencephalography (EEG): Standard and Extended Montage 11. Electro-oculography (EOG): Recording Technique and Pattern 12. Electromyography (EMG): Technique and Patterns From Mental, Submental, Tibialis Anterior and Other Muscles 13. Respiration Monitoring RECOGNITION OF SLEEP STAGES INCLUDING SLEEP SCORING TECHNIQUE: NREM STAGES 1-4 14. REM: Tonic and Phasic 15. SPECIAL HYNOGRAM Analysis Sleep Onset REM 16. Sleep Fragmentation 17. First Night Effect 18. Slow Wave Sleep and REM Rebound Due To CPAP-BIPAP Titration 19. Circadian Phase Delay 20. Sleep Deprivation 21. Cyclic Alternating Pattern (CAP) 22. Arousal Pattern 23. Periodic Limb Moments in Sleep (PLMS) 24. Snoring CLINICAL DISORDERS 25. Dyssomnias 26. Parasomnias 27. Neurodegenerative Diseases 28. Neuromuscular Disorders 29. Stroke 30. Epilepsy 31. Kleine-Leven Syndrome 32. Cardiac Arrhythmias In OSA 33. Periodic Breathing in Congestive Heart Failure 34. Overlap Syndrome 35. Fibromyalgia 36. Other Disorders THERAPEUTICS 37. Continuous Positive Airway Pressure (CPAP) 38. Bilevel Postitive Airway pressure (BiPAP) 39. Autotitration 40. Post Surgery/Dental Appliances DRUG EFFECTS 41. Non-rapid Eye Movement (NREM) Sleep 42. REM Sleep PEDIATRICS SLEEP MEDICINE 43. Montage For Pediatric PSG 44. Normal Awake and Sleep PSG In Newborn and Children 45. Sleep Scoring Techniques in Newborn Recordings with Examples of Normal Quiet 46. Active Sleep 47. Pediatric Case Examples
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