Sleepless and Sleepy: 50 Challenging Sleep Medicine Cases

Description

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. 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