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
- 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
- Index
Case 39 - Snoring and leg cramps
from Part VIII - Neuromuscular disorders and sleep
Published online by Cambridge University Press: 10 November 2010
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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
- 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
- Index
Summary
This chapter presents the clinical history, examination, follow-up, treatment, diagnosis, and the results of the procedures performed on a 57-year old patient who came to the sleep center complaining of snoring and of leg cramps. A polysomnography (PSG) study was performed with the sleep apnea protocol and video recording. The sleep study was predictably abnormal because of the presence of sleep apnea. The apnea-hypopnea index (AHI) overall was 33.2 events per hour and 59.4 while sleeping supine. Periodic breathing and Cheyne-Stokes respirations were also identified. The diagnosis was positional sleep apnea of moderate to severe intensity in the patient with primary lateral sclerosis, together with REM-sleep behavior disorder (RBD) by history. The patient was afflicted with primary lateral sclerosis, a slowly progressive noninherited gait disorder that may show no abnormalities on examination other than signs implicating the corticospinal tracts.
Keywords
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- Information
- Case Studies in Sleep NeurologyCommon and Uncommon Presentations, pp. 275 - 280Publisher: Cambridge University PressPrint publication year: 2010