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Related Concept Videos

Management of Insomnia01:19

Management of Insomnia

The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
Narcolepsy01:07

Narcolepsy

Narcolepsy is a chronic sleep disorder characterized by pervasive, uncontrolled sleepiness and other sleep disturbances. One of its hallmark symptoms is an abrupt transition to REM sleep upon falling asleep, which causes symptoms typically associated with this phase to occur unexpectedly during wakefulness. These include the following symptoms, which typically last from a minute or two to half an hour.
REM Sleep Behavior Disorder01:15

REM Sleep Behavior Disorder

REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
Sleep-Wake Cycles01:24

Sleep-Wake Cycles

Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and  rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
Sleepwalking and Sleep Talking01:17

Sleepwalking and Sleep Talking

Somnambulism, commonly known as sleepwalking, involves individuals engaging in activities ranging from simple walking to more complex behaviors such as driving. Sleepwalking typically occurs during the slow-wave sleep stages 3 and 4 early in the night when the person is not dreaming, contradicting the myth that sleepwalkers are acting out their dreams.
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
Nightmares and Night Terrors01:18

Nightmares and Night Terrors

Nightmares and night terrors represent two distinct types of sleep disturbances that differ in timing, characteristics, and the sleeper's recall of the event. Nightmares are vivid, disturbing dreams that usually awaken the sleeper from REM sleep, a stage of sleep where brain activity is high, and dreams are most frequent. Upon awakening, individuals often have detailed recollections of their nightmares, which can include themes of threats to survival, security, or self-esteem.
Nightmares often...

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Association Between Sleep Quality and Cognitive Symptoms in Patients with Major Depressive Disorder
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Association Between Sleep Quality and Cognitive Symptoms in Patients with Major Depressive Disorder

Published on: April 26, 2024

Treating sleep disorders in neurology practice.

Marc Raphaelson1, Sara K Inati

  • 1raphaels4@aol.com

Neurologic Clinics
|October 27, 2012
PubMed
Summary

Neurologists should screen all patients for sleep disorders, as many are undiagnosed. Routine screening and diagnostic sleep testing can improve care for neurologic patients with common sleep conditions.

Area of Science:

  • Neurology
  • Sleep Medicine
  • Clinical Practice Guidelines

Background:

  • Many patients with neurological conditions suffer from unrecognized sleep disorders.
  • Primary sleep disorders are prevalent and treatable in neurologic patient populations.
  • Current clinical practice may not adequately address sleep disorders in neurology.

Purpose of the Study:

  • To recommend routine screening for sleep disorders in neurological practice.
  • To identify neurologic patient groups who would benefit from diagnostic sleep testing.
  • To advocate for integrated care pathways for diagnosing and managing sleep disorders.

Main Methods:

  • Review of current literature and clinical guidelines.
  • Analysis of the prevalence of sleep disorders in neurologic patients.

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  • Recommendations for clinical workflow integration.

    • Main Results:

    • Standard sleep questionnaires are effective aids for clinical history.
    • Routine diagnostic sleep testing is indicated for specific neurologic conditions.
    • Neurologic patients frequently have treatable primary sleep disorders.

    Conclusions:

    • Neurologists should integrate routine sleep disorder screening into practice.
    • Diagnostic sleep testing should be considered for at-risk neurologic patients.
    • Developing clinical pathways for sleep disorder management is essential for coordinated care.