Atlas of Polysomnography by James D. Geyer MD, Paul R. Carney MD, Troy Payne MD

By James D. Geyer MD, Paul R. Carney MD, Troy Payne MD

This text/atlas is a different resource of sensible details for clinicians who needs to interpret polysomnography tracings of the neonate, youngster, baby, and grownup. such a lot atlases express simply the pictures of a few of the findings. within the moment variation of the Atlas of Polysomnography (formerly Atlas of electronic Polysomnography), the authors have improved the captions to incorporate either factors and important tricks in addition to formal interpretation. The publication continues its emphasis on the best way to really interpret and record at the polysomnography findings. The ebook is prepared into sections that permit it to be either entire and functional. This variation has been multiplied to hide the breadth and intensity of neonatal and pediatric sleep.

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Example text

In: Chokroverty S, ed. Sleep Disorders Medicine. Boston, MA: Butterworth-Heinemann, 1999:151–169. 5. Butkov N. Polysomnography. In: Lee-Chiong TL, Sateia MJ, Carskadon MA, eds. Sleep Medicine. Philadelphia, PA: Hanley and Belfus, 2002: 605–637. 6. Berry RB. Sleep Medicine Pearls. 2nd Ed. Philadelphia, PA: Hanley and Belfus, 2003. 7. Bonnet MH. Performance and sleepiness as a function of frequency and placement of sleep disruption. Psychophysiology 1986;23:263–271. 8. American Sleep Disorders Association—The Atlas Task Force: EEG arousals: Scoring rules and examples.

Indd 28 8/6/2009 8:07:17 PM STAGING * 29 ^ FIGURE 2-12 Polysomnogram: Standard montage; 30-second page. Clinical: 5-year-old girl. Staging: Stage N1 sleep. EEG: Rhythmic moderate to high amplitude 4- to 5-Hz activity, referred to as hypnagogic hypersynchrony (*), is a prominent feature of drowsy wakefulness and stage N1 sleep between the ages of 6 months and 6 years. It becomes less prominent during late childhood and adolescence. Near the end of the epoch, a K complex (∧) indicates the transition to stage N2 sleep.

Clinical: 44-year-old woman. Staging: Stage N2 sleep with a K complex (*). A vertex wave (∧) is also evident; although they are most prominent in stage N1 sleep, they can be seen occasionally in stage N2 sleep. indd 35 8/6/2009 8:07:22 PM 36 CHAPTER 2 ^ ** * ^ FIGURE 2-19 Polysomnogram: Standard montage; 60-second page. Clinical: 57-year-old man. Staging: Stage N2 sleep with a K complex (*) and vertex waves (∧). A transient with features intermediate between a K complex and a vertex wave is evident (**).

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