By James D. Geyer MD, Paul R. Carney MD, Troy Payne MD
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Additional resources for Atlas of Polysomnography
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 (**).