Book contents
- Case Studies in Sleep Neurology
- Case Studies in Sleep Neurology
- Copyright page
- Dedication
- Contents
- ContentsThe following cases described herein have been published previously
- Foreword
- Contributors
- Abbreviations
- Introduction
- Part I Sleep-related breathing disorders
- Part II Hypersomnias of central origin
- Part III Circadian rhythm disorders
- Part IV Parasomnias
- Part V Sleep-related epilepsy
- Part VI 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
- Appendix: Epworth Sleepiness Scale
- Index
Case 35 - Repetitive arm movements
from Part VII - Sleep-related movement disorders
Published online by Cambridge University Press: 10 November 2010
Edited by
Book contents
- Case Studies in Sleep Neurology
- Case Studies in Sleep Neurology
- Copyright page
- Dedication
- Contents
- ContentsThe following cases described herein have been published previously
- Foreword
- Contributors
- Abbreviations
- Introduction
- Part I Sleep-related breathing disorders
- Part II Hypersomnias of central origin
- Part III Circadian rhythm disorders
- Part IV Parasomnias
- Part V Sleep-related epilepsy
- Part VI 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
- Appendix: Epworth Sleepiness Scale
- Index
Summary
This chapter discusses the case of 48-year-old right-handed men whose chief complaints were heavy snoring, witnessed apneas, frequent awakenings at night and daytime fatigue with sleepiness. It presents the clinical history, examination, follow-up, treatment, diagnosis, and the results of the procedures performed on the patient. Polysomnographic recordings confirms obstructive sleep apnea-hypopnea syndrome (OSAHS) with an apnea-hypopnea index (AHI) of 9 events per hour; supine AHI was 17 events per hour. Polysomnography of the arm and leg surface EMG activity was recorded during both studies. The causal relationship between the patient's work-related repetitive arm movements and periodic arm movements of sleep (PAMS) is uncertain. The presence of PAMS suggests that the structures responsible for generating this periodicity originate at more rostral levels in the neural axis and likely involve the brainstem and other parts of the cortex.
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- Case Studies in Sleep NeurologyCommon and Uncommon Presentations, pp. 248 - 254Publisher: Cambridge University PressPrint publication year: 2010