Copyright
ELSEVIER (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - February 16, 2024 Category: Sleep Medicine Source Type: research
Forthcoming Issues
The Overlap of Respiratory Problems with Sleep Disordered Breathing (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - February 16, 2024 Category: Sleep Medicine Source Type: research
Contributors
TEOFILO LEE-CHIONG Jr, MD (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - February 16, 2024 Category: Sleep Medicine Source Type: research
Contents
Alon Y. Avidan (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - February 16, 2024 Category: Sleep Medicine Source Type: research
The Clinical Spectrum of the Parasomnias
Parasomnias are defined as abnormal movements or behaviors that occur in sleep or during arousals from sleep. Parasomnias vary in frequency from episodic events that arise from incomplete sleep state transition. The framework by which parasomnias are categorized and diagnosed is based on the International Classification of Sleep Disorders –Third Edition, Text Revision (ICSD-3-TR), published by the American Academy of Sleep Medicine. The recent Third Edition, Text Revision (ICSD-3-TR) of the ICSD provides an expert consensus of the diagnostic requirements for sleep disorders, including parasomnias, based on an extensive r...
Source: Sleep Medicine Clinics - January 17, 2024 Category: Sleep Medicine Authors: Alon Y. Avidan Source Type: research
Educational Resources to Support Patients with Parasomnias
This article serves to help reduce patient burden in searching for credible information about parasomnias —abnormal behaviors during sleep—including sleepwalking, night terrors, and rapid eye movement sleep behavior disorder. It exhibits a compiled list of accessible online resources about parasomnias as well as detailed descriptions about each resource. By increasing patient accessibility to clinic ally validated resources, patients are more empowered to take an active role in managing their conditions, collaborating with their health-care practitioners in clinical management, enrolling in registries, and joining news...
Source: Sleep Medicine Clinics - January 16, 2024 Category: Sleep Medicine Authors: Courtney D. Molina, Adreanne Rivera, Alon Y. Avidan Source Type: research
Sleep Terrors
Sleep terrors, categorized under disorders of arousal, more prevalent in pediatric population, generally are self-limited but sometimes can persist or occur in adulthood. These are primed by factors enhancing homeostatic drive on backdrop of developmental predisposition and are precipitated by factors increasing sleep fragmentation resulting in dissociated state of sleep with some cerebral regions showing abnormal slow wave activity and others fast activity. This phenotypically evolves into abrupt partial arousal with individual arousing from N3 or N2 sleep with behaviors representing intense fear such as crying with auton...
Source: Sleep Medicine Clinics - January 10, 2024 Category: Sleep Medicine Authors: Muna Irfan Source Type: research
Rapid Eye Movement Sleep Behavior Disorder
Management of rapid eye movement sleep behavior disorder (RBD) includes reducing injurious dream-enactment behaviors, risk of injury to self and bedpartner, and vivid or disruptive dreams and improving sleep quality and bedpartner sleep disruption. Safety precautions should be reviewed at each visit. Medications to reduce RBD symptoms such as melatonin, clonazepam, pramipexole, and rivastigmine should be considered for most patients. Isolated RBD confers a high lifetime risk of neurodegenerative diseases with a latency often spanning many years. A patient-centered shared decision-making approach to risk disclosure is recom...
Source: Sleep Medicine Clinics - December 26, 2023 Category: Sleep Medicine Authors: Roneil Malkani Source Type: research
The parasomnias, “What Lies Beneath”
“In this stage, the sleep becomes much disturbed. The tremulous motion of the limbs occur during sleep, and augment until they awaken the patient, and frequently with much agitation and alarm....”—James Parkinson (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - December 23, 2023 Category: Sleep Medicine Authors: Alon Y. Avidan Tags: Preface Source Type: research
Parasomnias During the COVID-19 Pandemic
This article will describe the frequency and features of the principal parasomnias and the impact of the pandemic and the government restriction measures on sleep. Among different pathophysiological hypotheses, we will discuss the role of stress, considered as an expression of the allostatic load. Finally, during the pandemic, parasomnias were mainly investigated by questionnaires, with controversial results; video-polysomnographic studies are crucial to obtain a definitive diagnosis, even in critical conditions. (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - December 6, 2023 Category: Sleep Medicine Authors: Felice Di Laudo, Greta Mainieri, Federica Provini Source Type: research
Exploding Head Syndrome
Exploding head syndrome (EHS) has historically been viewed as a disorder predominantly affecting older people and being more common in females. Through a comprehensive review of data since 2005, this scoping review provides updated evidence from 4082 participants reporting EHS across a variety of study designs on: how EHS presents; key information on comorbidity and correlates of EHS; how EHS is experienced in terms of symptoms and beliefs; causal theories arising from the research reviewed; and evidence-based information on how research has reported on the management of EHS. Since 2005, EHS has attracted increasing resear...
Source: Sleep Medicine Clinics - December 2, 2023 Category: Sleep Medicine Authors: D ónal G. Fortune, Helen L. Richards Source Type: research
Understanding Sexual Parasomnias
This article revisits the topic of sexsomnia, presenting new data and discussing cases published from 2007 to 2023. By analyzing these cases, we aim to enhance recognition, diagnosis, and management of sexsomnia, reducing stigma and providing better support for affected individuals. (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - December 1, 2023 Category: Sleep Medicine Authors: Monica Levy Andersen, Carlos H. Schenck, Sergio Tufik Source Type: research
Recurrent Isolated Sleep Paralysis
Recurrent isolated sleep paralysis has a 7.6% lifetime prevalence of at least one episode in the general population. Episodes resolve spontaneously and are benign. Sleep paralysis represents a dissociate state, with persistence of the rapid eye movement (REM)-sleep muscle atonia in the waking state. The intrusion of alpha electroencephalogram into REM sleep is followed by an arousal response and then by persistence of REM atonia into wakefulness. Predisposing factors include irregular sleep-wake schedules, sleep deprivation, and jetlag. No drug treatment is required. Patients should be informed about sleep hygiene. Cogniti...
Source: Sleep Medicine Clinics - November 29, 2023 Category: Sleep Medicine Authors: Ambra Stefani, Qi Tang Source Type: research
Sleep-Related Hallucinations
The diagnostic category of sleep-related hallucinations (SRH) replaces the previous category of Terrifying Hypnagogic Hallucinations in the 2001 edition of International Classification of Sleep Disorders-R. Hypnagogic and hypnopompic hallucinations (HHH) that occur in the absence of other symptoms or disorder and, within the limits of normal sleep, are most likely non-pathological. By contrast, complex nocturnal visual hallucinations (CNVH) may reflect a dimension of psychopathology reflecting different combinations of etiologic influences. The identification and conceptualization of CNVH is relatively new, and more resear...
Source: Sleep Medicine Clinics - November 29, 2023 Category: Sleep Medicine Authors: Flavie Waters, Ivan Ling, Somayyeh Azimi, Jan Dirk Blom Source Type: research
Sleep-Related Eating Disorder
Sleep-related eating disorder is a non-rapid-eye movement parasomnia typified by recurrent episodes of eating/drinking following arousals, with associated partial/complete amnesia. Adverse health consequences and quality of life impairments are common. The condition can be idiopathic but most often accompanies unrecognized/untreated comorbid sleep disorders and/or is induced by psychoactive medications. As such, management consists of addressing comorbidities and removing potentially offending medications. While a thorough clinical history is often sufficient, additional sleep testing may help identify coexisting sleep dis...
Source: Sleep Medicine Clinics - November 29, 2023 Category: Sleep Medicine Authors: Melissa C. Lipford, R. Robert Auger Source Type: research
